Engelsk titel: Aorto-oesophageal fistula bleeding
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Författare:
Nebrich L
Email: nebrich@mail.dk
Språk: Dan
Antal referenser: 5
Dokumenttyp:
Fallbeskrivning
UI-nummer: 08061250
Sammanfattning
We report a case of fatal aorto-oesophageal fistula(AEF) bleeding secondary to a thoracic aneurysm in a 69-year-old woman presenting with hematemesis and back pain. The clinical presentation was unusual, complicated by the coincidence of a bleeding perforated gastric ulcer, which probably led to the late diagnosis of the AEF. Symptoms of AEF are non-specific but with a typical pattern (Chiari's triad). AEF should be suspected in any patient with upper gastrointestinal haemorrhage, midthoracic pain, dysphagia, and typical findings at oesophagoscopy.