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Catastrophic gastrointestinal bleeding caused by aortoesophageal fistula secondary to mycotic thoracic aortic aneurysm
1 Taichung Veterans General Hospital, Department of Emergency Medicine, No. 160, Section 3, Chung-Kang Road, Taichung, Taiwan
2 Chung Shan Medical University, No. 110, Section 1, Jianguo N. Road, Taichung, Taiwan
3 National Taiwan University, No. 1, Section 4, Roosevelt Road, Taipei, Taiwan
4 National Taichung Nursing College, No. 193, Section 1, Sanmin Road, Taichung, Taiwan
5 Jen-Teh Junior College of Medicine, Nursing and Management, No. 79-9, Sa-Lun-Hu, Hou-Long Township, Miao-Li County, Taiwan
Correspondence to:
Sung-Yuan Hu, song9168@pie.com.tw
| The first 20% of the full text of this article appears below. |
A 77-year-old man, with a history of Staphylococcus aureus thoraic aortic aneurysm (TAA) with graft replacement 4 years ago, presented with chest pain and massive haematemesis. A pale appearance with air hunger and hypotension (72/42 mm Hg) and were noted. Endotracheal intubation, intravenous fluid and blood transfusion were performed. Laboratory analysis revealed a white blood cell count of 42 900 cells/mm3 with 93.5% neutrophils, haemoglobin 9.1 g/dl and creatinine 2.4 mg/dl. Chest x ray (fig 1) and CT angiography (CTA) of aorta
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