Aortoesophageal Fistula Occurring Due to Aortic Aneurysm

Upper gastrointestinal bleeding is a rare presentation of the aortoesophageal fistula (AEF) and is usually caused by thoracic aortic aneurysms. We present the case of a 61-year-old male who presented with chest pain and hematemesis. A chest X-ray showed a widened mediastinum. The patient underwent c...

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Autores principales: Das, Snehasis, Prakash, Sagar, Singh, Shweta, Shaikh, Oseen, Balasubramanian, Gopal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Emergency Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10438792/
https://www.ncbi.nlm.nih.gov/pubmed/37602018
http://dx.doi.org/10.7759/cureus.42148
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author Das, Snehasis
Prakash, Sagar
Singh, Shweta
Shaikh, Oseen
Balasubramanian, Gopal
author_facet Das, Snehasis
Prakash, Sagar
Singh, Shweta
Shaikh, Oseen
Balasubramanian, Gopal
author_sort Das, Snehasis
collection PubMed
description Upper gastrointestinal bleeding is a rare presentation of the aortoesophageal fistula (AEF) and is usually caused by thoracic aortic aneurysms. We present the case of a 61-year-old male who presented with chest pain and hematemesis. A chest X-ray showed a widened mediastinum. The patient underwent computed tomography angiography (CTA), which showed the presence of a large aneurysm in the aorta, which caused compression of the trachea, esophagus, and left pulmonary artery. Additionally, there was evidence of an AEF. It was decided to perform an emergency surgical intervention on the patient. However, the patient had multiple episodes of hematemesis and expired.
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spelling pubmed-104387922023-08-19 Aortoesophageal Fistula Occurring Due to Aortic Aneurysm Das, Snehasis Prakash, Sagar Singh, Shweta Shaikh, Oseen Balasubramanian, Gopal Cureus Emergency Medicine Upper gastrointestinal bleeding is a rare presentation of the aortoesophageal fistula (AEF) and is usually caused by thoracic aortic aneurysms. We present the case of a 61-year-old male who presented with chest pain and hematemesis. A chest X-ray showed a widened mediastinum. The patient underwent computed tomography angiography (CTA), which showed the presence of a large aneurysm in the aorta, which caused compression of the trachea, esophagus, and left pulmonary artery. Additionally, there was evidence of an AEF. It was decided to perform an emergency surgical intervention on the patient. However, the patient had multiple episodes of hematemesis and expired. Cureus 2023-07-19 /pmc/articles/PMC10438792/ /pubmed/37602018 http://dx.doi.org/10.7759/cureus.42148 Text en Copyright © 2023, Das et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Emergency Medicine
Das, Snehasis
Prakash, Sagar
Singh, Shweta
Shaikh, Oseen
Balasubramanian, Gopal
Aortoesophageal Fistula Occurring Due to Aortic Aneurysm
title Aortoesophageal Fistula Occurring Due to Aortic Aneurysm
title_full Aortoesophageal Fistula Occurring Due to Aortic Aneurysm
title_fullStr Aortoesophageal Fistula Occurring Due to Aortic Aneurysm
title_full_unstemmed Aortoesophageal Fistula Occurring Due to Aortic Aneurysm
title_short Aortoesophageal Fistula Occurring Due to Aortic Aneurysm
title_sort aortoesophageal fistula occurring due to aortic aneurysm
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10438792/
https://www.ncbi.nlm.nih.gov/pubmed/37602018
http://dx.doi.org/10.7759/cureus.42148
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