scholarly journals Black esophagus: acute esophageal necrosis complicating diabetic ketoacidosis

2018 ◽  
Vol 190 (35) ◽  
pp. E1049-E1049 ◽  
Author(s):  
Hourmazd Haghbayan ◽  
Avijeet K. Sarker ◽  
Eric A. Coomes
2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Zachary Field ◽  
Jacqueline Kropf ◽  
Meghan Lytle ◽  
Giselle Castaneira ◽  
Mario Madruga ◽  
...  

Background. Acute esophageal necrosis is an uncommon clinical disorder diagnosed on endoscopy as a black esophagus. It has a multifactorial etiology that probably represents a combination of poor nutritional status, gastric outlet obstruction, and ischemia secondary to hypoperfusion of the distal esophagus. It typically occurs in older males with comorbidities. Case. A 37-year-old woman presented with diabetic ketoacidosis and hematemesis. At esophagogastroduodenoscopy acute esophageal necrosis was diagnosed. The treatment included fluid and electrolyte management, insulin, and a proton pump inhibitor. She improved and left the hospital on day 3. Conclusion. Diabetic ketoacidosis can result in a profound osmotic diuresis, fluid loss, and hypoperfusion of the distal esophagus. This condition can then lead to ischemic injury and acute esophageal necrosis. Awareness of the possibility of its presence in young women with hematemesis and poorly controlled diabetes is important since early identification with esophagogastroduodenoscopy is necessary to prevent serious postnecrotic complications.


2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Dustin J. Uhlenhopp ◽  
Gregory Pagnotta ◽  
Tagore Sunkara

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.


Author(s):  
Daisuke Kitawaki ◽  
Atsushi Nishida ◽  
Keitaro Sakai ◽  
Yuji Owaki ◽  
Kyohei Nishino ◽  
...  

Acute esophageal necrosis (AEN), commonly referred to as “black esophagus”, is a rare clinical disease. Though AEN remains a rare cause of upper gastrointestinal bleeding, it is a potentially life-threatening condition. We present a case of AEN associated with diabetic ketoacidosis.


2012 ◽  
Vol 83 (1) ◽  
pp. 117 ◽  
Author(s):  
Jae Hyoung Im ◽  
Min Su Kim ◽  
Seung Yoen Lee ◽  
So Hun Kim ◽  
Seong Bin Hong ◽  
...  

2014 ◽  
Vol 109 ◽  
pp. S225
Author(s):  
Hiren Patel ◽  
Deepshikha Nag Chowdhury ◽  
Nihar Shah ◽  
Arya Karki ◽  
Robert Spira

2011 ◽  
Vol 212 (1-3) ◽  
pp. e15-e17 ◽  
Author(s):  
Kana Unuma ◽  
Kazuki Harada ◽  
Takeshi Funakoshi ◽  
Koichi Uemura

2017 ◽  
Vol 54 (11) ◽  
pp. 1061-1063 ◽  
Author(s):  
Valerio Manno ◽  
Nicola Lentini ◽  
Antonio Chirico ◽  
Maria Perticone ◽  
Luigi Anastasio

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