A Case of Diabetic Ketoacidosis Complicated With Necrotizing Esophagitis

被引:0
作者
Kawashima, Shumei [1 ]
Abe, Hironori [1 ]
Shimizu, Norihiro [1 ]
Shikuma, Junpei [1 ]
Suzuki, Ryo [1 ]
机构
[1] Tokyo Med Univ, Dept Diabet Endocrinol & Metab, Tokyo, Japan
关键词
hematemesis; black esophagus; diabetic keto acidosis; type 1 diabetes mellitus (t1d); acute necrotizing esophagitis; BLACK ESOPHAGUS; NECROSIS;
D O I
10.7759/cureus.52871
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Acute necrotizing esophagitis (ANE) is known as the "black esophagus." We present a case of ANE in a patient with slowly progressive type 1 diabetes mellitus. A 49-year-old man presented with vomiting, characterized by coffee residue-like emesis, and was diagnosed with diabetic ketoacidosis. Upper gastrointestinal endoscopy revealed black mucosa extending from the middle of the esophagus to the gastric junction, leading to a diagnosis of ANE. The patient was treated with proton pump inhibitors and showed marked improvement. The patient was discharged on the 20th day of illness.
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页数:7
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