An Unusual Cause of Acute Upper Gastrointestinal Bleeding: Acute Esophageal Necrosis
Joint Authors
Kalva, Nikhil R.
Tokala, Madhusudhan R.
Dhillon, Sonu
Pisoh, Watcoun-Nchinda
Walayat, Saqib
Vanar, Vishwas
Puli, Srinivas R.
Source
Case Reports in Gastrointestinal Medicine
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-08-23
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Acute esophageal necrosis (AEN), also called “black esophagus,” is a condition characterized by circumferential necrosis of the esophagus with universal distal involvement and variable proximal extension with clear demarcation at the gastroesophageal junction.
It is an unusual cause of upper gastrointestinal bleeding and is recognized with distinct and striking mucosal findings on endoscopy.
The patients are usually older and are critically ill with shared comorbidities, which include atherosclerotic cardiovascular disease, diabetes mellitus, hypertension, chronic renal insufficiency, and malnutrition.
Alcoholism and substance abuse could be seen in younger patients.
Patients usually have systemic hypotension along with upper abdominal pain in the background of clinical presentation of hematemesis and melena.
The endoscopic findings confirm the diagnosis and biopsy is not always necessary unless clinically indicated in atypical presentations.
Herein we present two cases with distinct clinical presentation and discuss the endoscopic findings along with a review of the published literature on the management of AEN.
American Psychological Association (APA)
Kalva, Nikhil R.& Tokala, Madhusudhan R.& Dhillon, Sonu& Pisoh, Watcoun-Nchinda& Walayat, Saqib& Vanar, Vishwas…[et al.]. 2016. An Unusual Cause of Acute Upper Gastrointestinal Bleeding: Acute Esophageal Necrosis. Case Reports in Gastrointestinal Medicine،Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1100807
Modern Language Association (MLA)
Kalva, Nikhil R.…[et al.]. An Unusual Cause of Acute Upper Gastrointestinal Bleeding: Acute Esophageal Necrosis. Case Reports in Gastrointestinal Medicine No. 2016 (2016), pp.1-4.
https://search.emarefa.net/detail/BIM-1100807
American Medical Association (AMA)
Kalva, Nikhil R.& Tokala, Madhusudhan R.& Dhillon, Sonu& Pisoh, Watcoun-Nchinda& Walayat, Saqib& Vanar, Vishwas…[et al.]. An Unusual Cause of Acute Upper Gastrointestinal Bleeding: Acute Esophageal Necrosis. Case Reports in Gastrointestinal Medicine. 2016. Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1100807
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1100807