ABSTRACT
Primary aorto-oesophageal fistula is a rare cause of massive and usually fatal gastrointestinal haemorrhage. We herein present a case of a 62-year-old chronic alcohol abuser who had a small haematemesis after a week of persistent vomiting. He succumbed to an exsanguinating bleed 36 hours after admission. An aorto-oesophageal fistula was found at autopsy. We emphasize the need for a high index of suspicion and recognition of premonitory signs for accurate diagnosis and management of this condition.
Subject(s)
Aortic Diseases/complications , Esophageal Fistula/complications , Gastrointestinal Hemorrhage/etiology , Aorta, Thoracic , Aortic Diseases/diagnosis , Barium , Hematemesis/complications , Esophageal Fistula/diagnosis , Diagnosis, DifferentialABSTRACT
A case of amoebic liver abscess which eroded the anterior abdominal wall and presented as an epigastric skin lesion is described. The diagnosis was established on finding trophozoites of Entamoeba histolytica in pus and tissue from the abscess wall. Treatment was carried out by incision and drainage, specific chemotherapy, and surgery, including closure of an associated gastro-cutaneous fistula