Comprehensive review of acute oesophageal necrosis

BMJ Case Reports
Waqas UllahMuhammad Saeed Khan

Abstract

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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Citations

Apr 2, 2019·Expert Review of Gastroenterology & Hepatology·Hafez Mohammad AbdullahMuslim Atiq
Nov 13, 2019·ANZ Journal of Surgery·Divyansh PanesarJenny Wagener
Mar 13, 2020·ACG Case Reports Journal·Palashkumar Jaiswal, James L Araujo
May 27, 2020·Case Reports in Gastrointestinal Medicine·Michael ColesPearl Uy
Jun 18, 2020·ACG Case Reports Journal·Eric GrishamVanessa Kuwajima

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