Oesophageal rupture due to tuberculous pseudoaneurysm of the aorta
- 1TN Medical College and BYL Nair Hospital, Bombay Central, Mumbai, India
- 2Department of Pathology, Seth G. S. Medical College, Parel, Mumbai, India
- Dr G P Amonkar, Dept of Pathology, TN Medical College, BYL Nair Hospital, Mumbai 400 08, Maharashtra, India; gpamonkar{at}hotmail.com
- Accepted 16 February 2009
Tuberculous pseudoaneurysm (TPA) of the aorta is a rare complication of tuberculosis.1–5 Rupture of TPA into the digestive tract is even rarer, with only a few cases being reported in the literature.4 Clinical awareness of TPA of the aorta is imperative as prompt therapy with a combination of surgery and antituberculous therapy with follow-up has shown excellent results in this otherwise fatal condition.1
A 60-year-old male patient presented with massive haematemesis and died suddenly. At autopsy, the thoracic aorta showed a 2 cm ragged tear with formation of a 4×3 cm outpouching that appeared to be walled off by fibrous …
