scholarly journals Forsaken Foregut: Case Report of Simultaneous Black Esophagus and Ischemic Cholangiopathy

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Paul A. Cameron ◽  
Franzjosef Schweiger
Keyword(s):  
Biliary Tree ◽  
Low Flow ◽  
Esophageal Injury ◽  
Contributing Factors ◽  
Acute Esophageal Necrosis ◽  
Esophageal Necrosis ◽  
Hemodynamic Compromise ◽  
Black Esophagus ◽  
First Case ◽  
Ischemic Cholangiopathy

Black esophagus or acute esophageal necrosis rarely occurs after severe hemodynamic compromise or low-flow states. Other contributing factors may include corrosive injury from gastric contents and diminished mucosal repair mechanisms. Ischemic cholangitis, another rare clinical entity, is also usually the result of a significant vascular and/or hypotensive insult to the biliary tree. We describe the first case of combined acute esophageal necrosis and ischemic cholangiopathy in a 62-year-old male who completely recovered from the esophageal injury but developed progressive liver failure from ischemic cholangiopathy.

scholarly journals Acute Esophageal Necrosis and Low-Flow State

2007 ◽  
Vol 21 (4) ◽  
pp. 245-247 ◽  
Author(s):  
Ahmad Burtally ◽  
Philippe Gregoire
Keyword(s):  
Gastroesophageal Junction ◽  
Low Flow ◽  
Quebec City ◽  
Flow State ◽  
Present Case Report ◽  
Acute Esophageal Necrosis ◽  
Esophageal Necrosis ◽  
Black Esophagus ◽  
Proximal Extension ◽  
Clinical Conditions

Acute esophageal necrosis (AEN), also called black esophagus, is quite exceptional. Endoscopic findings show circumferential black discolouration of the esophagus with or without exudates. The etiology of AEN is presently unknown and is assumed to be multifactorial. Distal esophageal involvement with proximal extension ending sharply at the gastroesophageal junction is the most common presentation. The present case report describes the clinical and endoscopic evolution of black esophagus observed in a patient with significant peripheral vascular disease, who was presented to the intensive care unit at the Hopital Saint-Francois d’Assise (Quebec City, Quebec). Through an extensive review of the literature, common underlying clinical conditions of patients diagnosed with AEN have been identified.

“Black Esophagus”: Low Flow State and Acute Esophageal Necrosis

2016 ◽  
Vol 111 ◽  
pp. S805-S806
Author(s):  
Bilal Gondal ◽  
Aaron Miller ◽  
Shu-Yuan Xiao ◽  
Ira Hanan ◽  
Gautham Reddy
Keyword(s):  
Low Flow ◽  
Flow State ◽  
Acute Esophageal Necrosis ◽  
Esophageal Necrosis ◽  
Black Esophagus

scholarly journals Acute Esophageal Necrosis Secondary to a Paraesophageal Hernia

2021 ◽  
pp. 594-597
Author(s):  
Chris J. Li ◽  
Benjamin B. Claxton ◽  
Peter Block ◽  
Sean Reilly ◽  
Scott Manski ◽  
...  
Keyword(s):  
Paraesophageal Hernia ◽  
Gastric Volvulus ◽  
Gastrointestinal Symptoms ◽  
Antibiotic Use ◽  
Causative Factor ◽  
Low Flow ◽  
Barium Swallow ◽  
Esophageal Mucosa ◽  
Acute Esophageal Necrosis ◽  
Esophageal Necrosis

Acute esophageal necrosis (AEN) or “black esophagus” is a rare clinical entity caused by necrosis of distal esophageal mucosa stemming from esophageal ischemia. Possible etiologies are broad but most commonly include possible triggers of low-flow vascular states in the esophagus, including infections, broad-spectrum antibiotic use, and gastric volvulus, among others. Patients most commonly present clinically with acute onset hematemesis and melena. Here, we describe a patient who initially presented with multiple nonspecific gastrointestinal symptoms, including abdominal pain and nausea, that progressed over a 10-day period, culminating in multiple episodes of hematemesis prior to presentation. Endoscopic evaluation confirmed the diagnosis of AEN and unveiled a possible paraesophageal hernia (PEH) as the causative factor. A subsequent videofluoroscopic barium swallow was utilized to better characterize the upper gastrointestinal anatomy and confirmed the PEH as a likely etiology. Esophagogastroduodenoscopy (EGD) can often identify PEH independently, but in patients with AEN secondary to a possible, but unclear, PEH on EGD, a videofluoroscopic barium swallow is an appropriate and useful next step in confirming the diagnosis. While treatment of AEN traditionally involves fluid resuscitation, intravenous protein pump inhibitors, and total parenteral nutrition, surgical intervention is often indicated in patients who have a contributing and symptomatic PEH.

Black Esophagus: Acute Esophageal Necrosis

2014 ◽  
Vol 109 ◽  
pp. S225
Author(s):  
Hiren Patel ◽  
Deepshikha Nag Chowdhury ◽  
Nihar Shah ◽  
Arya Karki ◽  
Robert Spira
Keyword(s):  
Acute Esophageal Necrosis ◽  
Esophageal Necrosis ◽  
Black Esophagus

Sudden death of an alcoholic elderly man with acute esophageal necrosis (black esophagus)

2011 ◽  
Vol 212 (1-3) ◽  
pp. e15-e17 ◽  
Author(s):  
Kana Unuma ◽  
Kazuki Harada ◽  
Takeshi Funakoshi ◽  
Koichi Uemura
Keyword(s):  
Sudden Death ◽  
Acute Esophageal Necrosis ◽  
Esophageal Necrosis ◽  
Black Esophagus

Acute esophageal necrosis (black esophagus): a case report and literature review

2017 ◽  
Vol 54 (11) ◽  
pp. 1061-1063 ◽  
Author(s):  
Valerio Manno ◽  
Nicola Lentini ◽  
Antonio Chirico ◽  
Maria Perticone ◽  
Luigi Anastasio
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Acute Esophageal Necrosis ◽  
Esophageal Necrosis ◽  
Black Esophagus

Acute esophageal necrosis (black esophagus) complicating calcific uremic arteriolopathy

2019 ◽  
Vol 91 (1) ◽  
pp. 48-51 ◽  
Author(s):  
Jawed Akhtar ◽  
Vijaya Kumar Gorantla ◽  
Peter D. Snell ◽  
Barry M. Wall
Keyword(s):  
Acute Esophageal Necrosis ◽  
Esophageal Necrosis ◽  
Black Esophagus ◽  
Calcific Uremic Arteriolopathy

Black Esophagus, A Case of Acute Esophageal Necrosis

2010 ◽  
Vol 105 ◽  
pp. S157
Author(s):  
Marc Scheer ◽  
Renee Young ◽  
Fedja Rochling ◽  
Sara Richards ◽  
Sarah May
Keyword(s):  
Acute Esophageal Necrosis ◽  
Esophageal Necrosis ◽  
Black Esophagus
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