One case of aortoesophageal fistula is presented. This pathology is rare: most of aortoenteric fistulas are in the duodenojujunum. Clinical presentation is rarely as clear as the Chiari triad describes it: mild thoracic pain, sentinel arterial hemorrhage and exsanguination. Esophagoscopy, computed tomography and arteriography are helpful for diagnosis. Issue is fatal without surgery but patients are often too old to tolerate it.
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