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KMID : 0882420080750040471
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Korean Journal of Medicine
2008 Volume.75 No. 4 p.471 ~ p.474
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A case of aortoesophageal fistula after NSAID use
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Jo Hyun-Ok
Kim Kwon-Bae
Nam Chang-Wook
Kim Hyung-Seop
Han Seong-Wook
Hur Seung-Ho
Kim Yoon-Nyun
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Abstract
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Aortoesophageal fistula secondary to thoracic aortic aneurysm is an uncommon cause of gastrointestinal bleeding and
is uniformly fatal without surgical intervention. We report a case of aortoesophageal fistula in an 83-year-old male who
presented with massive hematemesis after 4 days of NSAID use. Endoscopy showed a kissing esophageal ulcer with a
pulsating mass lesion in the mid esophagus. HRCT showed a fusiform aortic aneurysm in the descending aorta that was
affecting the mid esophagus.
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KEYWORD
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Esophageal fistula, Aortic aneurysm, Hematemesis
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