title: A bleeding esophagopulmonary fistula: rare complication of stasis ulcer in refractory achalasia.
abstract: Achalasia refractory to Heller cardiomyotomy is a rare problem. Complications arising from long-standing achalasia include perforation because of stasis ulcers and malignancy. Here, we report a case of refractory achalasia presenting with recurrent hematemesis because of a perforated stasis ulcer leading to a bleeding esophagopulmonary fistula.
authors.affiliation: *Department of General Surgery, Sir Charles Gairdner Hospital, Hospital Ave, Nedlands ‡Department of Cardiothoracic Surgery, Lung Institute of Western Australia, Sir Charles Gairdner Hospital, Hospital Ave, Nedlands †Department of General Surgery, St. John of God Hospital, Subiaco §School of Surgery, University of Western Australia, Crawley, WA.
authors.forename: Jeremy T H
authors.initials: JT
authors.lastname: Tan
authors.forename: Nagendra N
authors.initials: NN
authors.lastname: Dudi-Venkata
authors.forename: Shelbin I
authors.initials: SI
authors.lastname: Neelankavil
authors.forename: Lucas H A
authors.initials: LH
authors.lastname: Sanders
mesh_terms: D004931:Esophageal Achalasia / Q000150:complications*; D004937:Esophageal Fistula / Q000209:etiology*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006396:Hematemesis / Q000209:etiology; D006801:Humans; D008171:Lung Diseases / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D016156:Respiratory Tract Fistula / Q000209:etiology*; D014647:Varicose Ulcer / Q000150:complications*