A Cause of Mortal Massive Upper Gastrointestinal Bleeding: Aortoesophageal Fistula

Aortoesophageal fistula is an uncommon but mortal cause of massive upper gastrointestinal bleeding. The most common causes are thoracic aortic aneurisym, foreign body reaction, malignancy and postoperative complication. It can be seen in different pattern on upper gastrointestinal endoscopy. There are surgical, endoscopic and interventional radiological treatment options, however, definitive treatment is surgical intervention. Diagnosis and treatment desicion should be made quickly because of rapid and mortal course. In this article, a case of aortoesophageal fistula was presented that resulted in mortality as a result of massive bleeding.