A case of aortoesophageal fistula after NSAID use.
- Author:
Hyun Ok CHO
1
;
Kwon Bae KIM
;
Chang Wook NAM
;
Hyung Seop KIM
;
Seong Wook HAN
;
Seung Ho HUR
;
Yoon Nyun KIM
Author Information
1. Department of Internal Medicine, Keimyung University School of Medicine, Dongsan Medical Center, Daegu, Korea. cv@dsmc.or.kr
- Publication Type:Case Report
- Keywords:
Esophageal fistula;
Aortic aneurysm;
Hematemesis
- MeSH:
Aged, 80 and over;
Aorta, Thoracic;
Aortic Aneurysm;
Aortic Aneurysm, Thoracic;
Endoscopy;
Esophageal Fistula;
Esophagus;
Fistula;
Hematemesis;
Hemorrhage;
Humans;
Male;
Ulcer
- From:Korean Journal of Medicine
2008;75(4):471-474
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Aortoesophageal fistula secondary to thoracic aortic aneurysm is an uncommon cause of gastrointestinal bleeding and is uniformly fatal without surgical intervention. We report a case of aortoesophageal fistula in an 83-year-old male who presented with massive hematemesis after 4 days of NSAID use. Endoscopy showed a kissing esophageal ulcer with a pulsating mass lesion in the mid esophagus. HRCT showed a fusiform aortic aneurysm in the descending aorta that was affecting the mid esophagus.
