Aortoesophageal Fistula Occurring Due to Aortic Aneurysm

Upper gastrointestinal bleeding is a rare presentation of the aortoesophageal fistula (AEF) and is usually caused by thoracic aortic aneurysms. We present the case of a 61-year-old male who presented with chest pain and hematemesis. A chest X-ray showed a widened mediastinum. The patient underwent c...

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Bibliographic Details
Published in:	Curēus (Palo Alto, CA) Vol. 15; no. 7
Main Authors:	Das, Snehasis, Prakash, Sagar, Singh, Shweta, Shaikh, Oseen, Balasubramanian, Gopal
Format:	Journal Article
Language:	English
Published:	Palo Alto Cureus Inc 19-07-2023 Cureus
Subjects:	Aortic aneurysms Atherosclerosis Blood clots Carotid arteries Case reports Coronary vessels Emergency Medicine Esophagus Fistula Gastroenterology General Surgery Hematemesis Mortality Pain Patients Pleural effusion Pulmonary arteries Surgery Thorax Tomography Ulcers Veins & arteries
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Summary:	Upper gastrointestinal bleeding is a rare presentation of the aortoesophageal fistula (AEF) and is usually caused by thoracic aortic aneurysms. We present the case of a 61-year-old male who presented with chest pain and hematemesis. A chest X-ray showed a widened mediastinum. The patient underwent computed tomography angiography (CTA), which showed the presence of a large aneurysm in the aorta, which caused compression of the trachea, esophagus, and left pulmonary artery. Additionally, there was evidence of an AEF. It was decided to perform an emergency surgical intervention on the patient. However, the patient had multiple episodes of hematemesis and expired.
ISSN:	2168-8184 2168-8184
DOI:	10.7759/cureus.42148