Acute esophageal necrosis: Case report of an unknown entity

Maubert, Alexandre; Frey, Sébastien; Rahili, Amine; Filippi, Jérôme; Benizri, Emmanuel

doi:10.1016/j.ijscr.2019.07.041

Cited by 6 publications

(4 citation statements)

References 12 publications

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“…Patients can also present with other symptoms, such as nausea, vomiting, dysphagia, fever, and syncope [ 9 ]. In the majority of reported cases, anemia has been observed as a predominant sign, although it may not be found, owing to the hyperacute clinical picture [ 20 , 21 ]. Hyperlactatemia and leukocytosis [ 21 ] are other findings, which reflect the patient’s state of hypoperfusion and inflammation.…”

Section: Discussionmentioning

confidence: 99%

Sudden Esophageal Necrosis and Mediastinitis Associated with Invasive Candidiasis: A Case Report

et al. 2021

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Patient: Male, 35-year-old Final Diagnosis: Esophageal perforation Symptoms: Emesis Medication:— Clinical Procedure: — Specialty: Critical Care Medicine Objective: Rare disease Background: Esophageal necrosis is a rare entity characterized by the presence of extensive circumferential necrosis of the esophagus. It generally affects older adults who have associated chronic pathologies and has a reported mortality rate of approximately 32%. Most patients with esophageal necrosis have a complex clinical course. Case Report: We present the case of a 37-year-old man with idiopathic chronic renal failure who presented to the Emergency Department with sudden esophageal necrosis and mediastinitis, associated with invasive candidiasis. Diagnosis was challenging owing to the rarity of the condition. The patient required intensive care management and multiple surgical procedures. Conclusions: Esophageal necrosis is an uncommon pathology that can be fatal because of associated complications. Its pathophysiology is unclear, and its treatment is based on the control of local injury and signs and symptoms. Acute esophageal necrosis associated with invasive Candida sp. infection is even more infrequent, with only a few cases reported in the literature.

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Section: Discussionmentioning

confidence: 99%

Sudden Esophageal Necrosis and Mediastinitis Associated with Invasive Candidiasis: A Case Report

et al. 2021

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“…The distal esophagus has the least vascularized segment deriving its blood supply from the branches of the left gastric artery making it more sensitive to flucuations in tissue perfusion. 7 As a result, AEN demonstrates a penchant for and tends to be more severe in the distal esophagus. 6 Panesophageal disease may present in up to 36% of cases but is rarely isolated to the proximal esophagus (2% of cases).…”

Section: Discussionmentioning

confidence: 99%

“… 5-7 , 9 Histological examination is not required for diagnosis but may be useful to evaluate for associated pathogens or to rule out other differential diagnoses. 5 , 7 For example, negative staining on Perl’s Prussian blue likely excludes iron pill injury while negative staining on Fontana-Masson likely exludes esophageal melanocytosis. 3 …”

Section: Discussionmentioning

confidence: 99%

Acute Esophageal Necrosis: A Rare Case of Upper Gastrointestinal Bleeding from Diabetic Ketoacidosis

Uhlenhopp

Pagnotta

Sunkara

2020

Clinics and Practice

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Acute esophageal necrosis, also known as black esophagus or acute necrotizing esophagitis is a rare condition with roughly 154 cases reported in the literature. This condition is classically diagnosed on its endoscopic findings of a circumferentially black esophagus that abruptly ends at the gastroesophageal junction and transitions to normal gastric mucosa. When present, acute esophageal necrosis potentially signifies a poor prognosis with an overall mortality up to 36%. This case report describes a critically ill patient with multiple comorbidities that was found to have acute esophageal necrosis the entire length of the esophagus secondary to ischemia/hypoperfusion that was caused by diabetic ketoacidosis. The patient had a prolonged hospitalization but was ultimately discharged in stable condition. We also review the literature of this rare esophageal condition.

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“…"Black esophagus" und "black duodenum"zwei seltene Krankheitsbilder Die AEN stellt ein seltenes Krankheitsbild dar, das mittels Gastroskopie in 0,01-0,028 % aller endoskopischen Untersuchungen diagnostiziert wird [1,2]. Endoskopisch präsentiert sich eine zirkuläre Schwarzfärbung des Ösophagus besonders im unteren Drittel mit abruptem Übergang in regelrecht perfundierte Schleimhaut distal der Kardia [3]. Aufgrund der Tatsache, dass der distale Ösophagus der am schlechtesten perfundierte Ösophagusabschnitt ist, manifestieren sich die makroskopischen Veränderungen initial dort [4].…”

Section: Additive Diagnostik Und Interdiszplinäre Fallbesprechungunclassified

Black esophagus und black duodenum – seltene Ursache einer oberen gastrointestinalen Blutung

2021

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ZusammenfassungWir berichten über den fulminanten Verlauf eines black esophagus mit konsekutiver distaler Ösophagusperforation sowie eines black duodenum bei einer 73-jährigen Patientin. Die Diagnose des black esophagus erfolgt anhand des endoskopischen Bildes und ist charakterisiert durch die zirkuläre Nekrose des Ösophagus mit abruptem Übergang in regelrecht perfundierte Schleimhaut ab der Z-Linie. Der black esophagus ist eine seltene Ursache einer oberen gastrointestinalen Blutung und ist mit einer hohen Mortaliät von über 30 % verknüpft. Komplikativ können sich eine Ösophagusperforation und im langfristigen Verlauf eine Ösophagusstenose entwickeln. Eine kausale Therapie existiert nicht.

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Acute esophageal necrosis: Case report of an unknown entity

Abstract: Highlights Acute esophageal necrosis is an unknown entity because it is a rare disease. Management including different specialties. Time is necessary and surgery is not the only therapy.

Cited by 6 publications

References 12 publications

Sudden Esophageal Necrosis and Mediastinitis Associated with Invasive Candidiasis: A Case Report

Sudden Esophageal Necrosis and Mediastinitis Associated with Invasive Candidiasis: A Case Report

Acute Esophageal Necrosis: A Rare Case of Upper Gastrointestinal Bleeding from Diabetic Ketoacidosis

Black esophagus und black duodenum – seltene Ursache einer oberen gastrointestinalen Blutung

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