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Tuberculous esophagitis with aortic aneurysm fistula.

Authors
  • Catinella, F P
  • Kittle, C F
Type
Published Article
Journal
The Annals of Thoracic Surgery
Publisher
Elsevier
Publication Date
Jan 01, 1988
Volume
45
Issue
1
Pages
87–88
Identifiers
PMID: 3337583
Source
Medline
License
Unknown

Abstract

A patient with treated pulmonary tuberculosis and a thoracic aortic aneurysm was seen with a one-month history of dysphagia. Barium swallow revealed a mass in the lower esophagus and extravasation of contrast material into the mediastinum. Endoscopy and biopsy specimens showed acid-fast organisms. The patient was treated with antituberculous drug therapy but bled massively from the gastrointestinal tract and died. Autopsy revealed an aortoesophageal fistula at the level of the thoracic aneurysm. Histopathological study confirmed that this rare tuberculous lesion of the esophagus caused the fistula.

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