Black esophagus

被引：3

作者：

Diaz, Irene Gonzalez ^{[1
]}

Moreno-Sanchez, Maria ^{[1
]}

Soto, Yolanda Zarauza ^{[1
]}

Garcia, Aurora Burgos ^{[1
]}

机构：

[1] Hosp Univ La Paz, Dept Digest Dis, Madrid, Spain

来源：

REVISTA ESPANOLA DE ENFERMEDADES DIGESTIVAS | 2023年 / 115卷 / 11期

关键词：

D O I：

10.17235/reed.2022.9217/2022

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

A 76-year-old male with multiple cardiovascular risk factors (hypertension, type 2 diabetes mellitus, LD, smoker) and severe peripheral arterial disease (iliofemoral bypass, supracondylar amputation) presented to the Emergency Ward with coffee ground emesis and mild anemia. Urgent gastroscopy showed diffuse circumferential black mucosa covered by fibrin, affecting the middle third and distal esophagus. These changes progressively worsened from the proximal to distal esophagus, until reaching the esophagogastric junction (EGJ), where they ended abruptly. Small superficial ulcers were also observed in the duodenum. The endoscopic findings along with the medical history suggested acute esophageal necrosis. The patient was treated with double-dose proton pump inhibitors (PPIs), with complete healing of the mucosa in a subsequent gastroscopy. © 2023 ARAN Ediciones S.A.. All rights reserved.

引用

页码：646 / 647

页数：2

共 4 条

[1] Diagnosis and management of acute esophageal necrosis [J].