TITLE

An unusual presentation of thoracic aortic aneurysm rupturing into the esophagus: an autopsy case report

AUTHOR(S)
Hewa Ambepitiya, Sumithra Gamini; Michiue, Tomomi; Bessho, Yasumori; Kamikodai, Yasunobu; Ishikawa, Takaki; Maeda, Hitoshi
PUB. DATE
June 2010
SOURCE
Forensic Science, Medicine & Pathology;Jun2010, Vol. 6 Issue 2, p121
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Ruptured aortic aneurysms often present with sudden death, and have varied signs and symptoms depending on the site of rupture and hemorrhage. We report a case of an aortic aneurysm with an aorto-esophageal fistula, which showed slow gastrointestinal bleeding for days before death. A 79-year-old male was brought to a hospital emergency unit, with a history of melena for about 3 days, and recent hematemesis. He collapsed immediately after endoscopy and died. A forensic autopsy which was performed due to possible medical malpractice demonstrated a large saccular aneurysm of the descending thoracic aorta with a fistula into the esophagus. A significant finding was a lid or valve shaped thrombus covering the aortic orifice of the fistula, which may have partly contributed to slow bleeding, and which may have been dislodged by endoscopy. This case suggests that very careful management of aorto-esophageal fistula is needed in patients with clinical signs of possible thoracic aortic aneurysm with slow hemorrhage.
ACCESSION #
51708314

 

Related Articles

  • SUDDEN DEATH DUE TO RUPTURE ESOPHAGEAL VARICES: A CASE REPORT. Sharma, Amit; Barwa, Jyoti // Journal of Punjab Academy of Forensic Medicine & Toxicology;2010, Vol. 10 Issue 2, p104 

    In patients with esophageal varices, hemorrhage is common and often lethal and is one of the most serious complications of cirrhosis. Majority of persons who survived initial episode experienced rebleeding within one year which has a mortality rate of 33%. In the present case, the patient had an...

  • Aortic Aneurysm Treatable With Asthma Drugs, Swedish Study Finds.  // Trends in Medical Research;2011, Vol. 6 Issue 1, p96 

    No abstract available.

  • Fatal Vascular Access Hemorrhage: Reducing the Odds. Ball, Lynda K. // Nephrology Nursing Journal;Jul/Aug2013, Vol. 40 Issue 4, p297 

    Vascular access hemorrhage is not a frequently occurring complication associated with hemodialysis fistulas and grafts, but when it occurs, it can be fatal to patients and devastating to patients' families and dialysis unit staff members. The End Stage Renal Disease Notification of Death...

  • Complex arteriovenous fistulas at C1 causing hematomyelia through aneurysmal rupture of a feeder from the anterior spinal artery. Onda, Kiyoshi; Yoshida, Yuichi; Arai, Hiroyuki; Terada, Tomoaki // Acta Neurochirurgica;Mar2012, Vol. 154 Issue 3, p471 

    A 64-year-old woman presented with left occipital headache and right dissociated sensory loss due to hematomyelia on the left ventral side of C1 caused by rupture of an aneurysm on one of the feeders extending from the anterior spinal artery to complex epidural or dural and intradural...

  • Emergency Open Cardiac Massage via Subxyphoid Approach in Ruptured Type A Aortic Dissection. HSING-LIN LIN; WEI-CHE LEE; SHING-GHI LIN; LIANG-CHI KUO; YUAN-CHIA CHENG; CHAO-WEN CHEN // Signa Vitae;Oct2010, Vol. 5 Issue 2, p32 

    No abstract available.

  • Uncomplicated Spontaneous Rupture of the Pancreatic Pseudocyst Into the Gut -- CT Documentation: A Series of Two Cases. Mir, Mohammed F.; Shaheen, Feroze; Gojwari, Tariq A.; Singh, Manjeet; Nazir, Pervez; Ahmad, Shafeeq // Saudi Journal of Gastroenterology;Apr2009, Vol. 15 Issue 2, p135 

    Spontaneous rupture of the pancreatic pseudocyst into the surrounding hollow viscera is rare and, may be associated with life-threatening bleeding. Such cases require emergency surgical intervention. Uncomplicated rupture of pseudocyst is an even rarer occurrence. We present herein two cases of...

  • Spontaneous liver rupture in a patient with peliosis hepatis: A case report. Choi, Sun-Keun; Jin, Jun-Shuo; Cho, Soon-Gu; Choi, Suk-Jin; Kim, Chul-Soo; Choe, Yun-Mee; Lee, Keon-Young; Miki, Kenji // World Journal of Gastroenterology;11/21/2009, Vol. 15 Issue 43, p5493 

    Peliosis hepatis is a rare pathological entity and may cause fatal hepatic hemorrhage and liver failure. Here, we present a young male patient with aplastic anemia, who had received long-term treatment with oxymetholone. The patient suffered from sudden onset of intra-abdominal hemorrhage with...

  • Mediastinal pancreatic pseudocyst in chronic pancreatitis. Visrutaratna, Pannee; Ukarapol, Nuthapong // Pediatric Radiology;Jul2010, Vol. 40 Issue 7, p1298 

    The article offers information on mediastinal pancreatic pseudocysts, caused by acute or chronic pancreatitis, which can lead to infection, hemorrhage, and rupture of the pseudocyst into surrounding structures.

  • Rupture of Renal Transplant. Baker, Shona; Popescu, Maria; Akoh, Jacob A. // Case Reports in Transplantation;1/21/2015, Vol. 2015, p1 

    Background. Rupture of renal allograft is a rare and serious complication of transplantation that is usually attributed to acute rejection, acute tubular necrosis, or renal vein thrombosis. Case Presentation. LD, a 26-year-old male with established renal failure, underwent deceased donor...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics