Acute oesophageal necrosis: a case report and review of the literature

Int J Surg. 2010;8(1):6-14. doi: 10.1016/j.ijsu.2009.09.014. Epub 2009 Oct 1.


Aims: We discuss a case of acute oesophageal necrosis and undertook a literature review of this rare diagnosis.

Methods: The literature review was performed using Medline and relevant references from the published literature.

Results: One hundred and twelve cases were identified on reviewing the literature with upper gastrointestinal bleeding being the commonest presenting feature. The majority of cases were male and the mean age of presentation is 68.4 years. This review of the literature shows a mortality rate of 38%.

Conclusion: Acute necrotizing oesophagitis is a serious clinical condition and is more common than previously thought. It should be suspected in those with upper GI bleed and particularly the elderly with comorbid illness. Early diagnosis with endoscopy and active management will lead towards an improvement in patient outcome.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Acute Disease
  • Aged
  • Diagnosis, Differential
  • Esophageal Diseases / complications
  • Esophageal Diseases / diagnosis
  • Esophageal Diseases / surgery*
  • Fatal Outcome
  • Female
  • Gastrointestinal Hemorrhage / etiology
  • Gastrointestinal Hemorrhage / surgery
  • Humans
  • Necrosis