1. Aorto-oesophageal fistula: rarest cause of haematemesis - is it salvageable?
- Author
-
Premkumar Sivaraman, Soundarya Elavarasan, Ganesan Chinnasamy, and Murugesan Ramaiya Periyanarkunan
- Subjects
Male ,Abdominal pain ,medicine.medical_specialty ,Aortic Diseases ,Aortic aneurysm ,Esophageal Fistula ,medicine.artery ,medicine ,Humans ,cardiovascular diseases ,Aorta ,medicine.diagnostic_test ,business.industry ,Hematemesis ,General Medicine ,Middle Aged ,medicine.disease ,Upper GI endoscopy ,Surgery ,Saccular aneurysm ,Aortic Aneurysm ,Cardiothoracic surgery ,Angiography ,cardiovascular system ,medicine.symptom ,Aorto-oesophageal fistula ,business ,Gastrointestinal Hemorrhage - Abstract
A 60-year-old man presented with severe abdominal pain, two episodes of massive haematemesis and chest discomfort. CT angiography showed a saccular aneurysm of the juxtaphrenic aorta with possible oesophageal erosion. Upper GI endoscopy revealed external compression of the lower oesophagus—near total luminal obstruction with impending rupture of the aortic aneurysm. Emergency aneurysmal repair by interposition grafting using 20 mm Dacron graft with oesophageal–gastric reconstruction done. Postoperative period was uneventful
- Published
- 2023