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Ann Thorac Surg 1988;45:87-88
© 1988 The Society of Thoracic Surgeons

Articles

Tuberculous Esophagitis with Aortic Aneurysm Fistula

Frank P. Catinella, M.D., C. Frederick Kittle, M.D.*

From the Department of Cardiovascular-Thoracic Surgery, Rush-Presbyterian-St. Luke's Medical Center, Rush Medical College, Chicago, IL

Accepted for publication April 22, 1987.

* Address reprint requests to Dr. Kittle, Rush-Presbyterian-St. Luke's Med Center, 1753 West Congress Pkwy, Chicago, IL 60612

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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O. J. Ramo, J. A. Salo, J. Isolauri, M. Luostarinen, and S. P. Mattila
Tuberculous Fistula of the Esophagus
Ann. Thorac. Surg., October 1, 1996; 62(4): 1030 - 1032.
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U. O. von Oppell, M. d. Groot, C. Thierfelder, P. Zilla, and J. A. Odell
Successful management of aortoesophageal fistula due to thoracic aortic aneurysm
Ann. Thorac. Surg., November 1, 1991; 52(5): 1168 - 1170.
[Abstract] [PDF]


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