Biomedical subjects
Publications and source records attributed to R Duchene.
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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The authors report a simultaneous observation of Biermer's anaemia and myeloma in a 77 year old woman. There are now 22 cases known to this association. A relationship between the two immunological diseases was suggested but the authors think that there is no proof of such a relationship.
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