Mycotic aneurysm of thoracic aorta with aortoesophageal fistula mimicking the esophageal tumor with bleeding--a case report.
An aortoesophageal fistula is a rare but fatal disease, most commonly associated with thoracic aortic aneurysm. Early diagnosis and emergency surgical intervention are mandatory for survival. We reported a case of mycotic aneurysm of thoracic aorta with aortoesophageal fistula, presenting with intermittent hematemesis, tarry stool and sepsis. Initially, misdiagnosis of esophageal submucosal tumor with bleeding was made clinically and endoscopically. With contrast-enhanced spiral computed tomography (CT) scan the diagnosis was confirmed. The pathogenesis, clinical presentation, endoscopic feature and imaging findings were reviewed.
Department of Radiology, Taipei Veterans General Hospital, No. 201, Sec. 2. Shih-Pai Road, Taipei, Taiwan.
Wei-Hsin
WH
Yuan
Jen-Dar
JD
Chen
Chui-Mei
CM
Tiu
Jih-Shiuan
JS
Wang
Hui-Chen
HC
Hsu
Chen-Hsen
CH
Lee
Chen-Yen
CY
Chang
Jin
J
Yu
D000368:Aged; D000785:Aneurysm, Infected / Q000150:complications*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000382:microbiology; D016866:Bacteroidaceae Infections / Q000150:complications; D004937:Esophageal Fistula / Q000150:complications* / Q000175:diagnosis; D004945:Esophagoscopy; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D013290:Streptococcal Infections / Q000150:complications; D014057:Tomography, X-Ray Computed