Year 2023 / Volume 115 / Number 8
Letter
Esophageal necrosis secondary to thoracic aortic aneurysm

472-473

DOI: 10.17235/reed.2023.9580/2023

Laura Juan Casamayor, Cristina Martínez Cuevas, Esteban Fuentes-Valenzuela, Carmen Alonso-Martín,

Abstract
We present the case of a 78-year-old man with dyslipidemia with ongoing treatment with statins. He was admitted for a history of 3-month dysphagia and weight loss. The physical exam was unremarkable. Blood tests revealed anemia (hemoglobin 11,5 g/dL). Gastroscopy showed a partially stenotic bulging ulcer in the middle esophagus, with a fibrinous base and residual clot Histopathology ruled out any malignancy and confirmed the presence of transmural necrosis with infiltration of inflammatory cells. Computed tomography (CT) revealed a 11x11x12 cm thoracic aortic aneurysm, with an intramural 4 cm thrombus in the anterolateral wall. The patient was referred for urgent Vascular Surgery, but unfortunately, he presented massive hematemesis with cardiorespiratory arrest, and despite cardiopulmonary resuscitation, he died.
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References
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Juan Casamayor L, Martínez Cuevas C, Fuentes-Valenzuela E, Alonso-Martín C. Esophageal necrosis secondary to thoracic aortic aneurysm . 9580/2023


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Publication history

Received: 07/03/2023

Accepted: 12/03/2023

Online First: 19/04/2023

Published: 26/07/2023

Article Online First time: 43 days

Article editing time: 141 days


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