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 …