Primary aortoesophageal fistula: A rare but fatal cause of upper gastrointestinal bleeding

Abstract

A68-year-old woman was admitted to our EmergencyDepartment for hematemesis several times within oneday. She had a history of poorly controlled hyperten-sion and suffered from left intracranial saccular aneu-rysm rupture twice with sequelae of right hemiplegia.The patient denied chest pain. On physical examina-tion, her heart rate was 120 beats/min with bloodpressure of 121/76 mmHg. Other physical examina-tions were unremarkable. Laboratory data showedhemoglobin [Hb] 100 g/L (normal range 120–160 g/L) without coagulopathy (platelet 315 × 10