Khawaja F I, Varindani M K
J Clin Gastroenterol. 1987 Jun;9(3):342-4. doi: 10.1097/00004836-198706000-00020.
Primary aortoesophageal fistula is a rare cause of severe and often fatal gastrointestinal bleeding. The classic diagnostic triad consists of midthoracic pain and sentinel hemorrhage, followed by fatal exsanguination. A prompt, definitive diagnosis at the time of the initial bleeding episode is essential for timely, life-saving surgery. Any combination of low-grade, intermittent hematemesis, with midthoracic chest pain, dysphagia, or a mediastinal mass, should alert the physician to this diagnosis, and an aggressive diagnostic and therapeutic approach. In this article, we report a case of aortoesophageal fistula and present photographs.
原发性主动脉食管瘘是严重且常导致致命性胃肠道出血的罕见病因。典型的诊断三联征包括胸中段疼痛和前驱性出血，随后是致命性失血。在首次出血发作时迅速做出明确诊断对于及时进行挽救生命的手术至关重要。任何低度、间歇性呕血与胸中段胸痛、吞咽困难或纵隔肿块的组合，都应提醒医生考虑这一诊断，并采取积极的诊断和治疗方法。在本文中，我们报告一例主动脉食管瘘病例并展示相关照片。
