Abstract
SPONTANEOUS perforation of the aorta by a benign esophageal ulcer has not been reported. As a surgical complication such a perforation has been described in 3 cases. Merindino and Emerson1 presented 2 cases in which aortoesophagogastric fistula followed resection for esophageal carcinoma. In 1, a misplaced suture passed through the aortic media. In the other, separation of the suture line resulted in an abscess followed by an aortoesophagogastric fistula with fatal hemorrhage ten months after operation.Malignant ulcers commonly invade the aorta, with fatal consequences. Knaut2 found a total of 34 cases in 1896. Carr and Hanford3 added 18 cases . . .

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