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  • Title: Aorto-oesophageal fistula: rarest cause of haematemesis - is it salvageable?
    Author: Periyanarkunan MR, Elavarasan S, Sivaraman P, Chinnasamy G.
    Journal: BMJ Case Rep; 2021 Nov 29; 14(11):. PubMed ID: 34844963.
    Abstract:
    A 60-year-old man presented with severe abdominal pain, two episodes of massive haematemesis and chest discomfort. CT angiography showed a saccular aneurysm of the juxtaphrenic aorta with possible oesophageal erosion. Upper GI endoscopy revealed external compression of the lower oesophagus-near total luminal obstruction with impending rupture of the aortic aneurysm. Emergency aneurysmal repair by interposition grafting using 20 mm Dacron graft with oesophageal-gastric reconstruction done. Postoperative period was uneventful.
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