title: Aortoesophageal fistula in a child.
abstract: Aortoesophageal fistulae (AEF) are rare and are associated with very high mortality. Foreign body ingestions remain the commonest cause of AEF seen in children. However in a clinical setting of tuberculosis and massive upper GI bleed, an AEF secondary to tuberculosis should be kept in mind. An early strong clinical suspicion with good quality imaging and endoscopic evaluation and timely aggressive surgical intervention helps offer the best possible management for this life threatening disorder. Our case is a 10-year-old boy who presented to the pediatric emergency with massive bouts of haemetemesis and was investigated and managed by multidisciplinary team effort in the emergency setting.
authors.affiliation: Department of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Shasanka Shekhar
authors.initials: SS
authors.lastname: Panda
authors.forename: Sandeep
authors.initials: S
authors.lastname: Agarwala
authors.forename: Sushil Kumar
authors.initials: SK
authors.lastname: Kabra
authors.forename: Ruma
authors.initials: R
authors.lastname: Ray
authors.forename: Nidhi
authors.initials: N
authors.lastname: Sugandhi
authors.forename: Abdus Sami
authors.initials: AS
authors.lastname: Bhat
authors.forename: Rakesh
authors.initials: R
authors.lastname: Lodha
authors.forename: Prashant
authors.initials: P
authors.lastname: Joshi
authors.forename: Akshay Kumar
authors.initials: AK
authors.lastname: Bisoi
authors.forename: Arundeep
authors.initials: A
authors.lastname: Arora
authors.forename: Arun Kumar
authors.initials: AK
authors.lastname: Gupta
keywords: Aorto-esophageal fistula; children; tuberculosis
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