[Aorto-oesophageal fistula bleeding].
We report a case of fatal aorto-oesophageal fistula (AEF) bleeding secondary to a thoracic aneurysm in a 69 year-old woman presenting with hematemesis and back pain. The clinical presentation was unusual, complicated by the coincidence of a bleeding perforated gastric ulcer, which probably led to the late diagnosis of the AEF. Symptoms of AEF are non-specific but with a typical pattern (Chiari's triad). AEF should be suspected in any patient with upper gastrointestinal haemorrhage, midthoracic pain, dysphagia, and typical findings at oesophagoscopy.
Naestved Sygehus, Anaestesiologisk Afdeling. nebrich@mail.dk
Lars
L
Nebrich
D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000150:complications*; D001018:Aortic Diseases / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D004937:Esophageal Fistula / Q000175:diagnosis / Q000209:etiology*; D017809:Fatal Outcome; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D006396:Hematemesis / Q000175:diagnosis; D006801:Humans; D010439:Peptic Ulcer Perforation / Q000175:diagnosis; D016157:Vascular Fistula / Q000175:diagnosis / Q000209:etiology*