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

Abstract

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.

Google Scholar

Google Scholar

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.
Published
2020-06-29
Info
Issue
Section
Case Reports
Keywords:
black esophagus, acute necrotizing esophagitis, acute esophageal necrosis, diabetic ketoacidosis, upper gastrointestinal bleed
Statistics
  • Abstract views: 37

  • PDF: 15
How to Cite
Uhlenhopp, D. J., Pagnotta, G., & Sunkara, T. (2020). Acute esophageal necrosis: A rare case of upper gastrointestinal bleeding from diabetic ketoacidosis. Clinics and Practice, 10(2). https://doi.org/10.4081/cp.2020.1254