AI Article Synopsis
- A 78-year-old man with dyslipidemia and ongoing statin treatment was admitted for dysphagia and weight loss over three months.
- Blood tests showed anemia, and a gastroscopy revealed a bulging ulcer in the esophagus, with histopathology indicating inflammation but no malignancy.
- A CT scan identified a thoracic aortic aneurysm with a thrombus; the patient deteriorated due to massive hematemesis and ultimately died despite resuscitation efforts.
Article 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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| http://dx.doi.org/10.17235/reed.2023.9580/2023 | DOI Listing |
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