A Rare Cause of Upper Gastrointestinal Bleeding: Aorta-Esophageal Fistula

Abstract

Aortoesophageal fistula (AEF) is rarely seen in gastroenterology practice. It is a very fatal condition. Common causes of AEF are aortic aneurysms and dissections, foreign body ingestion, traumatic aortic injuries, ruptured penetrating aortic ulcers, esophageal or bronchogenic malignancies, and thoracic surgery such as thoracic endovascular aortic repair (TEVAR). Post-TEVAR AEF is a very rare cause of massive upper gastrointestinal bleeding (UGIB). Management of AEF is difficult and causes serious outcomes. Here we report a case presented with UGIB related to post-TEVAR AEF.