Margreiter R, Suckert K
Chirurg. 1977 May;48(5):331-3.
After massive hematemesis esophageal varices were found by radiography and endoscopy in a 79-year-old woman. Two episodes of bleeding could be stopped with the Sengstaken-Blakemore-tube. The patient, however, died after heavy vomitting of arterial blood, although the tube was in the proper position. Atopsy shows a fistula between a tractiondiverticulum of the esophagus and the aorta. A flaringup of an old tuberculosis, demonstrated by histology, caused the colliquating of the wall of the diverticulum and also the arrosion of the aorta.
一名79岁女性在大量呕血后，经放射造影和内镜检查发现食管静脉曲张。使用三腔二囊管成功止住了两次出血。然而，尽管管子位置正确，患者在大量呕出动脉血后死亡。尸检显示食管牵引性憩室与主动脉之间存在瘘管。组织学检查证实，陈旧性结核复发导致憩室壁液化，进而侵蚀主动脉。
