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Endoscopy 1990; 22(1): 51-53
DOI: 10.1055/s-2007-1012788
© Georg Thieme Verlag KG Stuttgart · New York

Hemorrhage in the Upper Digestive Tract Caused by an Aorto-Esophageal Fistula

M. Alcantara, J. M. Carrobles, J. L. M. Potenciano, J. M. Chacon, L. Garcia, M. A. Cuesta
  • Departments of Gastroenterology, Surgery and Radiology, Hospital Virgen de la Salud, Toledo, Spain
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Publication History

Publication Date:
17 March 2008 (online)

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Summary

The case of a 75-year-old patient admitted to our Center with hematemesis is presented. At oral endoscopy a pulsating vegetative mass was found in the distal third of the esophagus, which aroused suspicion of an aortic aneurysm fistulized to the esophagus; this was confirmed by arteriography. He underwent two surgical procedures, the aneurysm being resected and replaced by an aortic prosthesis, and esophagectomy performed. The patient died of postoperative complications. The endoscopic appearance is shown.

Key words:

Aorto-esophageal fistula - Gastrointestinal bleeding