Korean J Thorac Cardiovasc Surg.  2001 Mar;34(3):256-259.

Esophagoaortic Fistula Caused by Esophageal Tuberculosis: A Case Report

• Lee HS
• Lee WJ
• Choi KM
• An HS
• Hong KW

Abstract

Tuberculosis of the esophagus is repoted to be very rare. Dysphagia and chest pain are the most common symptoms, but the massive hematemesis is less common. We had experienced a patient with esophagoaortic fistula caused by esophageal tuberculosis with massive hematemesis. A 42 year-old man who was urgently admitted with massive hematemesis. On admission an emergency endoscopy revealed a 0.7 cm sized rich vascularity granulomatous lesion on the 25 cm from the incisor , the patient underwent the wedge resection of the esophagus immediately. The esophagus was severely adhered to the aorta and the esophagealfistula to the aorta was presented. Double ligation was performed. On the 8th postoperative days the patient had massive bleeding through the mediastinal drainage and hematemesis after vomiting, he had performed explothoracotomy and died of the aortic rupture. We report the case with references of literature.

Keyword

Esophageal fistula; Tuberculosis; Aortic fistula

MeSH Terms

Adult
Aorta
Aortic Rupture
Chest Pain
Deglutition Disorders
Drainage
Emergencies
Endoscopy
Esophageal Fistula
Esophagus
Fistula*
Hematemesis
Hemorrhage
Humans
Incisor
Ligation
Tuberculosis*
Vomiting