Tuberculous esophagitis with erosion into aortic aneurysm
Chase, R.A.; Haber, M.H.; Pottage, J.C.; Schaffner, J.A.; Miller, C.; Levin, S.
Archives of Pathology and Laboratory Medicine 110(10): 965-966
1986
ISSN/ISBN: 0003-9985 PMID: 3767615 Document Number: 592
An 87-year-old woman with a known atherosclerotic thoracic aneurysm died suddenly from a massive esophageal hemorrhage. Prior to death, tuberculous esophagitis was diagnosed by biopsy. At autopsy, a fistulous tract was found extending from the esophagous to the aortic aneurysm; this fistula proved to be the site of fatal hemorrahge. The tract was surrounded by a granulomatous inflammatory reaction, in which acid-fast bacilli were found. To our knowledge, this is the first reported case of tuberculous esophagitis extending to an aortic aneurysm resulting in hemorrhage and death.
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