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Primary aortoesophageal fistula : Presenting as massive upper gastrointestinal hemorrhage

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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. et al. Primary aortoesophageal fistula : Presenting as massive upper gastrointestinal hemorrhage. Indian J Pediatr 63, 696–698 (1996). https://doi.org/10.1007/BF02730825

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