Korean J Med.
2008 Oct;75(4):471-474.
A case of aortoesophageal fistula after NSAID use
- Affiliations
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- 1Department of Internal Medicine, Keimyung University School of Medicine, Dongsan Medical Center, Daegu, Korea. cv@dsmc.or.kr
Abstract
- Aortoesophageal fistula secondary to thoracic aortic aneurysm is an uncommon cause of gastrointestinal bleeding and is uniformly fatal without surgical intervention. We report a case of aortoesophageal fistula in an 83-year-old male who presented with massive hematemesis after 4 days of NSAID use. Endoscopy showed a kissing esophageal ulcer with a pulsating mass lesion in the mid esophagus. HRCT showed a fusiform aortic aneurysm in the descending aorta that was affecting the mid esophagus.
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