{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T19:33:18Z","timestamp":1757619198374,"version":"3.44.0"},"reference-count":6,"publisher":"BMJ","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Frontline Gastroenterol"],"accepted":{"date-parts":[[2010,12,16]]},"published-print":{"date-parts":[[2011,7]]},"abstract":"<jats:p>Thoracic aortic dissection (TAD) with aorto-oesophageal fistula formation is an uncommon but fatal cause of haematemesis. A case is presented of a previously healthy 63-year-old man who presented to the emergency department with syncope and haematemesis. He had no history of heavy alcohol intake and was previously well. Bedside portable chest x ray revealed a widened mediastinum and, while awaiting a CT angiogram, he had a further large haematemesis which led to him undergoing resuscitation and rapid sequence intubation. CT angiography of his thoracic aorta revealed a large thoracic aortic aneurysm with dissection from the arch of the aorta down to the left iliac artery. The dissection had formed an aorto-oesophageal fistula in the proximal oesophagus. He was transferred to a tertiary referral centre for repair of the dissection and aorto-oesophageal fistula.<\/jats:p>","DOI":"10.1136\/fg.2010.004119","type":"journal-article","created":{"date-parts":[[2011,2,14]],"date-time":"2011-02-14T00:14:16Z","timestamp":1297642456000},"page":"151-152","source":"Crossref","is-referenced-by-count":0,"title":["Mind the fistula"],"prefix":"10.1136","volume":"2","author":[{"given":"Dean","family":"Burns","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dhakshinamoorthy","family":"Vijayasankar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2011,2,12]]},"reference":[{"key":"2025090708591514000_2.3.151.1","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1177\/096721099500300510","article-title":"Primary aortoesophageal fistula caused by an atherosclerotic thoracoabdominal aortic aneurysm: a case report and review of the literature","volume":"3","author":"Hageman","year":"1995","journal-title":"Cardiovasc Surg"},{"key":"2025090708591514000_2.3.151.2","first-page":"113","article-title":"Massive hemorrhage from an \u201cesophageal tumor\u201d: thoracic aortic aneurysm rupturing into the esophagus","volume":"28","author":"Sp\u00e4th","year":"1990","journal-title":"Z Gastroenterol"},{"key":"2025090708591514000_2.3.151.3","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.4928"},{"key":"2025090708591514000_2.3.151.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0736-4679(00)00288-2"},{"key":"2025090708591514000_2.3.151.5","first-page":"328","article-title":"Diagnostic difficulties in aortic dissection. Retrospective study of 89 surgically treated patients","volume":"75","author":"Viljanen","year":"1986","journal-title":"Ann Chir Gynaecol"},{"key":"2025090708591514000_2.3.151.6","doi-asserted-by":"publisher","DOI":"10.1001\/jama.287.17.2262"}],"container-title":["Frontline Gastroenterology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/fg.2010.004119","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,7]],"date-time":"2025-09-07T15:59:23Z","timestamp":1757260763000},"score":1,"resource":{"primary":{"URL":"https:\/\/fg.bmj.com\/lookup\/doi\/10.1136\/fg.2010.004119"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,2,12]]},"references-count":6,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2011,5,27]]},"published-print":{"date-parts":[[2011,7]]}},"alternative-id":["10.1136\/fg.2010.004119"],"URL":"https:\/\/doi.org\/10.1136\/fg.2010.004119","relation":{},"ISSN":["2041-4137","2041-4145"],"issn-type":[{"type":"print","value":"2041-4137"},{"type":"electronic","value":"2041-4145"}],"subject":[],"published":{"date-parts":[[2011,2,12]]}}}