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Aorto-oesophageal fistula: a late complication of Boerhaave syndrome
  1. Raphael P Chae1,
  2. Mary Ann Johnson1,
  3. Domenic Robinson2 and
  4. Michael W Hii1
  1. 1 Upper Gastrointestinal and Hepatobiliary Unit, St Vincent’s Hospital Melbourne, Fitzroy, Victoria, Australia
  2. 2 Department of Vascular Surgery, St Vincent’s Hospital Melbourne, Fitzroy, Victoria, Australia
  1. Correspondence to Dr Raphael P Chae, rchaeatsvhm{at}


A 68-year-old woman presented with haematemesis and chest pain 3 months after a spontaneous oesophageal perforation. The patient rapidly progressed to a state of hypovolaemic shock and after resuscitation was found to have aorto-oesophageal fistula on CT aortogram. The patient was treated with a successful thoracic endovascular aortic repair.

  • gastrointestinal surgery
  • general surgery
  • vascular surgery
  • GI bleeding
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  • Contributors RPC was responsible for data collection and the initial writing as well as following through each edits. MWH provided guidance and editing throughout the drafting process, and was the main supervisor. MAJ was the treating upper GI surgeon, and was actively involved throughout each editing and writing process. DR was the treating vascular surgeon, and provided input with writing and editing the case report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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