Primary aortoesophageal fistula: presenting as massive upper gastrointestinal hemorrhage.

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Date
1996-09-01
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Abstract
Primary aortoesophageal fistula is a rare cause of upper gastrointestinal bleeding. A six-year-old boy presented with massive upper gastrointestinal hemorrhage. Endoscopy revealed a submucosal bulge in the esophagus with an ulcer and clot at the top. Lateral skiagram of the chest showed a posterior mediastinal mass. CT scan of the chest revealed a ruptured aortic aneurysm into the oesophagus, confirmed the diagnosis. The patient succumbed to the illness before he could be subjected to definitive treatment.
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Nijhawan S, Patni T, Agrawal S, Vijayvergiya R, Rai RR. Primary aortoesophageal fistula: presenting as massive upper gastrointestinal hemorrhage. Indian Journal of Pediatrics. 1996 Sep-Oct; 63(5): 696-8