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Case Reports
. 2016 Jul;8(7):320-2.
doi: 10.4103/1947-2714.187159.

Acute Esophageal Necrosis: An Update

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Free PMC article
Case Reports

Acute Esophageal Necrosis: An Update

Faisal Inayat et al. N Am J Med Sci. .
Free PMC article

Abstract

Acute esophageal necrosis (AEN) or "black esophagus" is a rare clinical entity with an unclear etiology. It is diagnosed at upper gastrointestinal endoscopy with the presence of strikingly black necrotic esophagus. The treatment is primarily medical, but the prognosis is generally poor due to advanced age and comorbid illnesses in patients who develop AEN. Herein, we discussed the implications of poor glycemic control in regards with AEN and undertook a literature review of this rare diagnosis.

Keywords: Acute esophageal necrosis; awareness; diabetes; hyperglycemic hyperosmolar syndrome.

Figures

Figure 1
Figure 1
Initial upper endoscopy showing necrotic-appearing black esophagus in the lower third of esophagus
Figure 2
Figure 2
Repeat upper endoscopy 2 weeks after presentation showing resolution of necrotic symptoms in the lower third of esophagus

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