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.
Yuan
Wei-Hsin
WH
Department of Radiology, Taipei Veterans General Hospital, No. 201, Sec. 2. Shih-Pai Road, Taipei, Taiwan.
Chen
Jen-Dar
JD
Tiu
Chui-Mei
CM
Wang
Jih-Shiuan
JS
Hsu
Hui-Chen
HC
Lee
Chen-Hsen
CH
Chang
Chen-Yen
CY
Yu
Jin
J
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