PMC10157070_01
Axial computed tomography angiography of arterial (A) and venous (B) phases at two different levels below the carina, demonstrating a descending aortic pseudoaneurysm (black arrow) protruding into the esophagus (with a nasogastric tube in situ) through an aortoesophageal fistula (evidenced by direct communication of esophagus and aorta). There is a progressive increase in amount of contrast material (white arrow) in the esophagus, indicating rupture of the pseudoaneurysm and active bleeding.
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F1
Computed tomography angiography (CTA) thereafter demonstrated an AEF with aortic pseudoaneurysm, as well as massive contrast extravasation at the distal esophagus suggestive of an active hemorrhage (Figures 1, 2).
Coronal (A) and sagittal (B) maximum intensity projection images from computed tomography angiography show a descending aortic pseudoaneurysm (black arrow) at the level of the aortoesophageal fistula, complicated with rupture and contrast material extravasation (white arrow) into the esophagus (with a nasogastric tube in situ).
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F2
Computed tomography angiography (CTA) thereafter demonstrated an AEF with aortic pseudoaneurysm, as well as massive contrast extravasation at the distal esophagus suggestive of an active hemorrhage (Figures 1, 2).