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Acute esophageal necrosis after kidney transplantation: A case report
RATIONALE: Acute esophageal necrosis (AEN) is a rare syndrome with characteristic endoscopic and pathologic findings. It usually results from a combination of tissue hypoperfusion, impaired local defense barriers, and massive reflux of gastric contents. We report a case of AEN after a kidney transpl...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7886391/ https://www.ncbi.nlm.nih.gov/pubmed/33578574 http://dx.doi.org/10.1097/MD.0000000000024623 |
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author | Kim, Na Young Lee, Yoo Jin Cho, Kwang Bum Jin, Kyubok Lee, Ju Yup |
author_facet | Kim, Na Young Lee, Yoo Jin Cho, Kwang Bum Jin, Kyubok Lee, Ju Yup |
author_sort | Kim, Na Young |
collection | PubMed |
description | RATIONALE: Acute esophageal necrosis (AEN) is a rare syndrome with characteristic endoscopic and pathologic findings. It usually results from a combination of tissue hypoperfusion, impaired local defense barriers, and massive reflux of gastric contents. We report a case of AEN after a kidney transplant. PATIENT CONCERNS: A 53-year-old man with hypertension and end-stage renal disease presented with abdominal pain and a single episode of hematemesis 14 days after kidney transplantation. DIAGNOSIS: Upper endoscopy revealed circumferential black coloration in the mid to lower esophageal mucosa. Esophageal biopsy showed ulcer, and immunostains were negative for viral etiology. INTERVENTIONS: Conservative management was done with total parenteral nutrition and proton pump inhibitor. OUTCOMES: The patient experienced no further episodes of hematemesis or abdominal pain and follow-up endoscopy showed remarkable changes from the black mucosa to a red friable mucosa with whitish exudates. LESSONS: In the case, AEN occurred in the setting of normal blood pressure after major surgery despite the absence of preceding factors such as hypotension and infections. The possibility of AEN should be considered in patients with solid organ transplantation who present with abdominal pain, dysphagia, and hematemesis. |
format | Online Article Text |
id | pubmed-7886391 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-78863912021-02-17 Acute esophageal necrosis after kidney transplantation: A case report Kim, Na Young Lee, Yoo Jin Cho, Kwang Bum Jin, Kyubok Lee, Ju Yup Medicine (Baltimore) 4500 RATIONALE: Acute esophageal necrosis (AEN) is a rare syndrome with characteristic endoscopic and pathologic findings. It usually results from a combination of tissue hypoperfusion, impaired local defense barriers, and massive reflux of gastric contents. We report a case of AEN after a kidney transplant. PATIENT CONCERNS: A 53-year-old man with hypertension and end-stage renal disease presented with abdominal pain and a single episode of hematemesis 14 days after kidney transplantation. DIAGNOSIS: Upper endoscopy revealed circumferential black coloration in the mid to lower esophageal mucosa. Esophageal biopsy showed ulcer, and immunostains were negative for viral etiology. INTERVENTIONS: Conservative management was done with total parenteral nutrition and proton pump inhibitor. OUTCOMES: The patient experienced no further episodes of hematemesis or abdominal pain and follow-up endoscopy showed remarkable changes from the black mucosa to a red friable mucosa with whitish exudates. LESSONS: In the case, AEN occurred in the setting of normal blood pressure after major surgery despite the absence of preceding factors such as hypotension and infections. The possibility of AEN should be considered in patients with solid organ transplantation who present with abdominal pain, dysphagia, and hematemesis. Lippincott Williams & Wilkins 2021-02-12 /pmc/articles/PMC7886391/ /pubmed/33578574 http://dx.doi.org/10.1097/MD.0000000000024623 Text en Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) |
spellingShingle | 4500 Kim, Na Young Lee, Yoo Jin Cho, Kwang Bum Jin, Kyubok Lee, Ju Yup Acute esophageal necrosis after kidney transplantation: A case report |
title | Acute esophageal necrosis after kidney transplantation: A case report |
title_full | Acute esophageal necrosis after kidney transplantation: A case report |
title_fullStr | Acute esophageal necrosis after kidney transplantation: A case report |
title_full_unstemmed | Acute esophageal necrosis after kidney transplantation: A case report |
title_short | Acute esophageal necrosis after kidney transplantation: A case report |
title_sort | acute esophageal necrosis after kidney transplantation: a case report |
topic | 4500 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7886391/ https://www.ncbi.nlm.nih.gov/pubmed/33578574 http://dx.doi.org/10.1097/MD.0000000000024623 |
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