The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2008;75(4):471-474.
증례: 진통 소염제를 사용한 환자에서 발견된 대동맥 식도 누공의 1예
조현옥 . 김권배 . 남창욱 . 김형섭 . 한성욱 . 허승호 . 김윤년, , , , , ,
A case of aortoesophageal fistula after NSAID use
Hyun-Ok Cho, Kwon-Bae Kim, Chang-Wook Nam, Hyung Seop Kim, Seong-Wook Han, Seung-Ho Hur, Yoon-Nyun Kim
경희대학교 의과대학 순환기내과학교실


Abstract
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. (Korean J Med 75:471-474, 2008)

Keywords :Esophageal fistula, Aortic aneurysm, Hematemesis
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