title: A young patient with massive haematemesis.
abstract: Aortoesophageal fistula (AEF) is a rare and life-threatening cause of gastrointestinal haemorrhage which requires emergency surgical intervention. We report a case of aortoesophageal fistula due to previous endovascular stent grafting to the ascending thoracic aorta after previous traumatic injury. The patient presented with catastrophic haematemesis which was managed by repeated deployment of endovascular stent graft and aortic bypass surgery; however, the patient ultimately died due to massive haemoptysis.
authors.affiliation: Adult Critical Care Medicine, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia. dr-salman@hotmail.com
authors.forename: Salman
authors.initials: S
authors.lastname: Abdulaziz
authors.forename: Nabil
authors.initials: N
authors.lastname: Abou-Shala
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Al-Sanouri
mesh_terms: D000784:Aortic Dissection / Q000601:surgery; D001013:Aorta, Thoracic / Q000293:injuries / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery; D001018:Aortic Diseases / Q000175:diagnosis* / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D004937:Esophageal Fistula / Q000175:diagnosis* / Q000601:surgery; D017809:Fatal Outcome; D005773:Gastroscopy; D006396:Hematemesis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D035583:Rare Diseases; D012086:Reoperation; D015607:Stents; D016157:Vascular Fistula / Q000175:diagnosis* / Q000601:surgery; D055815:Young Adult