Year 2023 / Volume 115 / Number 11
Digestive Diseases Image
Black esophagus

646-647

DOI: 10.17235/reed.2022.9217/2022

Irene González Díaz, María Moreno-Sánchez, Yolanda Zarauza Soto, Aurora Burgos Garcia,

Abstract
A 76-year-old man with multiple cardiovascular risk factors (hypertension, DM2, LD, smoker) and severe peripheral arterial disease (iliofemoral bypass, supracondylar amputation) came to the emergency with coffee ground emesis and mild anemia. Urgent gastroscopy showed diffuse circumferential black mucosa covered by fibrin affecting the middle and distal esophageal third. Acute esophageal necrosis is a rare cause of gastrointestinal bleeding that should be suspected in patients with cardiovascular risk factors with an image of a black esophagus that is abruptly interrupted at the EGJ.
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References
1. Lamers CR, Mares WGN, Bac DJ. Black esophagus: a case series and literature review of acute esophageal necrosis. Scand J Gastroenterol. 2018 Oct-Nov;53(10-11):1421-1424.
2. Sánchez Cánovas M, López Martín A. SEVERE GASTROINTESTINAL TOXICITY SECONDARY TO FLUOROPYRIMIDINES: ACUTE ESOPHAGEAL NECROSIS ASSOCIATED EXTENSIVE DUODENAL MUCOSITIS. Rev Esp Enferm Dig. 2020 Dec
3. Gurvits GE. Black esophagus: acute esophageal necrosis syndrome. World J Gastroenterol. 2010 Jul 14;16(26):3219-25.
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González Díaz I, Moreno-Sánchez M, Zarauza Soto Y, Burgos Garcia A. Black esophagus . 9217/2022


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Publication history

Received: 19/09/2022

Accepted: 23/09/2022

Online First: 07/10/2022

Published: 13/11/2023

Article Online First time: 18 days

Article editing time: 420 days


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