Aortoesophageal fistula due to esophageal ulcer |
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Authors: | Shinji Takano Kazuhiro Katsuhara Kenji Nobuhara Shigeharu Ueda Masato Imura Yoshihisa Hohjo |
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Affiliation: | (1) Department of Cardiovascular Surgery, Ehime Prefectural Niihama Hospital, 3-1-1 Hongo, Niihama, Ehime 792-0042, Japan;(2) Department of Surgery, Ehime Prefectural Niihama Hospital, Ehime, Japan |
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Abstract: | Aortoesophageal fistula is a rare but fatal disease. Many such fistulas are caused by an aortic aneurysm, a previous operation, or esophageal disease. We report a case of aortoesophageal fistula due to an esophageal ulcer. A 66-year-old man suffered massive hematemesis; he was diagnosed as having an aortoesophageal fistula due to an esophageal ulcer after examination by upper endoscopy, computed tomography, and angiography. He had no aortic aneurysm, nor was there a history of a previous operation. An emergency operation was performed, but we could only accomplish closure because clamping of the aorta was impossible, and the source of the bleeding could not be established. He died 4 days later after sudden hemorrhage. Surgical outcome depends on early surgical intervention before massive hemorrhage occurs. |
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Keywords: | Aortoesophageal fistula Surgery Hematemesis |
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