Acute esophageal necrosis: a case report and review

Lahbabi, M.; Ibrahimi, A.; Aqodad, N.

doi:10.11604/pamj.2013.14.109.2000

Cited by 23 publications

(45 citation statements)

References 9 publications

(18 reference statements)

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“…Additional common pathogens include cytomegalovirus, herpes simplex virus, Klebsiella species, and Penicillium chrysogenum. 4 , 5 …”

Section: Discussionmentioning

confidence: 99%

“… 2 Due to the paucity of data on this condition, a medical therapy gold standard has not been established but treatment usually focuses on the causative condition. 3 , 4 We present a case of a 56-year-old male presenting with diabetic ketoacidosis, shock, and coffee ground emesis that was found to have AEN. Considering the rarity of this condition, future clinical trials will likely not be possible.…”

Section: Introductionmentioning

confidence: 99%

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Acute Esophageal Necrosis: A Rare Case of Upper Gastrointestinal Bleeding from Diabetic Ketoacidosis

Uhlenhopp

Pagnotta

Sunkara

2020

Clinics and Practice

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Acute esophageal necrosis, also known as black esophagus or acute necrotizing esophagitis is a rare condition with roughly 154 cases reported in the literature. This condition is classically diagnosed on its endoscopic findings of a circumferentially black esophagus that abruptly ends at the gastroesophageal junction and transitions to normal gastric mucosa. When present, acute esophageal necrosis potentially signifies a poor prognosis with an overall mortality up to 36%. This case report describes a critically ill patient with multiple comorbidities that was found to have acute esophageal necrosis the entire length of the esophagus secondary to ischemia/hypoperfusion that was caused by diabetic ketoacidosis. The patient had a prolonged hospitalization but was ultimately discharged in stable condition. We also review the literature of this rare esophageal condition.

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“…Additional common pathogens include cytomegalovirus, herpes simplex virus, Klebsiella species, and Penicillium chrysogenum. 4 , 5 …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Acute Esophageal Necrosis: A Rare Case of Upper Gastrointestinal Bleeding from Diabetic Ketoacidosis

Uhlenhopp

Pagnotta

Sunkara

2020

Clinics and Practice

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“…in 1990, as a black esophagus after a cholecystectomy [ 4 ]. The etiology is unknown, and multiple factors are thought to be involved, for example, advanced age, sex, diabetes, trauma, malignant tumor and myocardial ischemia [ 8 ]. The pathology is a mixture of necrosis and granulation of all layers of the esophageal wall.…”

Section: Discussionmentioning

confidence: 99%

A case of esophageal rupture caused by long-term exposure to vinegar and resolved by damage control strategies

Okura

Inaba

Yasuhara

et al. 2020

Journal of Surgical Case Reports

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A 75-year-old woman had the habit of drinking vinegar. She had emergent transport to our hospital because of vomiting and unconsciousness. The patient underwent emergency surgery for esophageal rupture and septic shock. Intraoperatively, a 25 mm perforated area was found, and the visible esophageal mucosa was black. Because the suture closure or anastomosis was difficult and the shock was prolonged, she was placed in the intensive care unit after undergoing resection of the thoracic esophagus and thoracic drainage. Fifteen hours after the first surgery, we performed external esophagostomy and enterostomy. The third surgery was a retrothoracic cervical esophagogastric anastomosis, and reconstructive surgery was performed 60 days after the first surgery. Prolonged exposure to vinegar may have resulted in esophageal mucosal necrosis. This is a valuable case in which the esophageal mucosa was necrotic, and we performed esophagectomy and reconstruction as a damage control strategy to save her life.

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“…Of these cases, we managed to extract data from 79 articles having 105 cases of AON (online supplementary table 1). 5–82 Data could not be extracted from (n=13) of the articles containing a total of (n=20) cases 4 83–95. The most common reasons for these were unavailability of complete data or the language being other than English.…”

Section: Discussionmentioning

confidence: 99%

Comprehensive review of acute oesophageal necrosis

Ullah¹,

Mehmood

Micaily

et al. 2019

BMJ Case Rep

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Acute oesophageal necrosis, also known as ‘black oesophagus’, is a rare condition characterised by the black discolouration of the oesophageal mucosa on endoscopy and involves the distal oesophagus in majority of cases but may also extend proximally. A number of conditions are found to be associated with it and it is thought to occur due to a combination of hypovolaemia and inadequate oesophageal protective mucosal barrier function. Gastric secretions may have a direct effect on the oesophageal mucosa. We present a case of a woman who presented with haematemesis and significant hypotension after a session of haemodialysis. Black oesophagus was confirmed on esophagogastroduodenoscopy. She was given two units of packed red blood cells and one unit of platelets, and started on a pantoprazole infusion. However, despite rigorous attempts at resuscitation the patient failed to recover.

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Acute esophageal necrosis: a case report and review

Cited by 23 publications

References 9 publications

Acute Esophageal Necrosis: A Rare Case of Upper Gastrointestinal Bleeding from Diabetic Ketoacidosis

Acute Esophageal Necrosis: A Rare Case of Upper Gastrointestinal Bleeding from Diabetic Ketoacidosis

A case of esophageal rupture caused by long-term exposure to vinegar and resolved by damage control strategies

Comprehensive review of acute oesophageal necrosis

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