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Acute Esophageal Necrosis in a Septic Patient with a History of Cardiovascular Disease
Joint Authors
Coles, Michael
Madray, Victoria
Uy, Pearl
Source
Case Reports in Gastrointestinal Medicine
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-05-11
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Acute esophageal necrosis (AEN), or colloquially named “black esophagus,” is a rare clinical condition often associated with ischemic injury to the esophagus secondary to splanchnic vasoconstriction during hypotensive episodes.
We present a case of a 78-year-old man with extensive cardiovascular disease who was initially admitted for gallstone pancreatitis and possible cholangitis.
His hospital course was complicated by possible sepsis secondary to aspiration pneumonia and hematemesis secondary to acute ischemic esophageal necrosis as noted on upper endoscopy.
Interestingly, the patient only had a transient episode of hypotension (approximately 35 minutes) not requiring vasopressor support, which improved with fluid resuscitation, and endoscopic retrograde cholangiopancreatography (ERCP) done 3 days prior showed normal esophageal mucosa.
Clinicians should be aware of the possibility of acute esophageal necrosis as a potential etiology of gastrointestinal (GI) bleed in patients with cardiovascular disease and sepsis.
American Psychological Association (APA)
Coles, Michael& Madray, Victoria& Uy, Pearl. 2020. Acute Esophageal Necrosis in a Septic Patient with a History of Cardiovascular Disease. Case Reports in Gastrointestinal Medicine،Vol. 2020, no. 2020, pp.1-3.
https://search.emarefa.net/detail/BIM-1147347
Modern Language Association (MLA)
Coles, Michael…[et al.]. Acute Esophageal Necrosis in a Septic Patient with a History of Cardiovascular Disease. Case Reports in Gastrointestinal Medicine No. 2020 (2020), pp.1-3.
https://search.emarefa.net/detail/BIM-1147347
American Medical Association (AMA)
Coles, Michael& Madray, Victoria& Uy, Pearl. Acute Esophageal Necrosis in a Septic Patient with a History of Cardiovascular Disease. Case Reports in Gastrointestinal Medicine. 2020. Vol. 2020, no. 2020, pp.1-3.
https://search.emarefa.net/detail/BIM-1147347
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1147347