Case of post-primary tuberculosis and massive haematemesis.

Perforations and fistulae in gastrointestinal tuberculosis

“…In esophageal tuberculosis, perforation and fistulae to various mediastinal structures occur, mostly as a result of rupture of caseous lymph nodes. Tracheo‐esophageal and aorto‐esophageal fistulae have been well documented (3, 8). Tuberculosis is considered the most common cause of esophago‐respiratory fistulae (16).…”

Recurrent Laryngeal Nerve Palsy, Dysphagia and Aortic Fistula

“…We have found only four previous reports of aortooesophageal fistula resulting from tuberculosis-two cases from Africa 2 and one each from Singapore 3 and England 4 . In all four, as here, the diagnosis was made post mortem.…”

Tuberculosis of the Oesophagus

“…Displacement of the oesophagus may occur due to lymph nodal enlargement, as seen in our cases. Rarely, caseating glands may cause a fatal fistula between the aorta and the oesophagus (Hancock and Barnett, 1974). Roentgen evidence of tuberculous disease in the lungs, Iymphnodes or vertebral column will suggest that the oesophageal involvement is secondary (Bockus, 1%8).…”