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Acute esophageal necrosis: A rare case of upper gastrointestinal bleeding from diabetic ketoacidosis

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 gastroe...

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Autores principales: Uhlenhopp, Dustin J., Pagnotta, Gregory, Sunkara, Tagore
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PAGEPress Publications, Pavia, Italy 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7348660/
https://www.ncbi.nlm.nih.gov/pubmed/32670536
http://dx.doi.org/10.4081/cp.2020.1254
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author Uhlenhopp, Dustin J.
Pagnotta, Gregory
Sunkara, Tagore
author_facet Uhlenhopp, Dustin J.
Pagnotta, Gregory
Sunkara, Tagore
author_sort Uhlenhopp, Dustin J.
collection PubMed
description 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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spelling pubmed-73486602020-07-14 Acute esophageal necrosis: A rare case of upper gastrointestinal bleeding from diabetic ketoacidosis Uhlenhopp, Dustin J. Pagnotta, Gregory Sunkara, Tagore Clin Pract Case Report 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. PAGEPress Publications, Pavia, Italy 2020-06-29 /pmc/articles/PMC7348660/ /pubmed/32670536 http://dx.doi.org/10.4081/cp.2020.1254 Text en ©Copyright: the Author(s) http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Uhlenhopp, Dustin J.
Pagnotta, Gregory
Sunkara, Tagore
Acute esophageal necrosis: A rare case of upper gastrointestinal bleeding from diabetic ketoacidosis
title Acute esophageal necrosis: A rare case of upper gastrointestinal bleeding from diabetic ketoacidosis
title_full Acute esophageal necrosis: A rare case of upper gastrointestinal bleeding from diabetic ketoacidosis
title_fullStr Acute esophageal necrosis: A rare case of upper gastrointestinal bleeding from diabetic ketoacidosis
title_full_unstemmed Acute esophageal necrosis: A rare case of upper gastrointestinal bleeding from diabetic ketoacidosis
title_short Acute esophageal necrosis: A rare case of upper gastrointestinal bleeding from diabetic ketoacidosis
title_sort acute esophageal necrosis: a rare case of upper gastrointestinal bleeding from diabetic ketoacidosis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7348660/
https://www.ncbi.nlm.nih.gov/pubmed/32670536
http://dx.doi.org/10.4081/cp.2020.1254
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