Das Snehasis, Prakash Sagar, Singh Shweta, Shaikh Oseen, Balasubramanian Gopal
Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.
Radiodiagnosis, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.
Cureus. 2023 Jul 19;15(7):e42148. doi: 10.7759/cureus.42148. eCollection 2023 Jul.
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.
上消化道出血是主动脉食管瘘（AEF）的一种罕见表现，通常由胸主动脉瘤引起。我们报告一例61岁男性患者，该患者出现胸痛和呕血症状。胸部X线检查显示纵隔增宽。患者接受了计算机断层血管造影（CTA）检查，结果显示主动脉存在一个大动脉瘤，该动脉瘤压迫了气管、食管和左肺动脉。此外，有证据表明存在主动脉食管瘘。决定对该患者进行急诊手术干预。然而，患者多次出现呕血症状，最终死亡。
