Necrotizing esophagitis by stress-cardiomyopathy with right ventricular insufficiency

被引：1

作者：

Mueller-Engelmann, J. ^{[1
]}

Paparoupa, M. ^{[2
]}

Nierhaus, A. ^{[2
]}

Wittig, A. ^{[3
]}

Moeller, M. ^{[1
]}

Gradaus, R. ^{[1
]}

Schuppert, F. ^{[3
]}

机构：

[1] Klinikum Kassel, Klin Kardiol & Intens Med, Kassel, Germany

[2] Univ Klinikum Hamburg Eppendorf, Klin Intens Med, Martinistr 52, D-20246 Hamburg, Germany

[3] Klinikum Kassel, Klin Gastroenterol Endokrinol Diabetol & Allgemei, Kassel, Germany

来源：

MEDIZINISCHE KLINIK-INTENSIVMEDIZIN UND NOTFALLMEDIZIN | 2020年 / 115卷 / 03期

关键词：

Black esophagus; Schock; Tako-Tsubo-Syndrome; Upper gastrointestinal bleeding; Proton pump inhibitors; BLACK ESOPHAGUS; NECROSIS;

D O I：

10.1007/s00063-018-0517-8

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Acute necrotizing esophagitis ("black esophagus") is defined as complete necrosis of the esophageal mucosa, which typically affects the entire circumference. We report a case of a healthy 62-year-old woman, who became hemodynamically unstable due to stress cardiomyopathy with acute right heart failure. Transfusion-dependent anemia occurred 24& x202f;h later and an upper gastrointestinal endoscopy revealed a black discoloured mucosa of the distal esophagus. After hemodynamic stabilization and treatment with proton pump inhibitors and sucralfate, complete healing of the esophageal mucosa was achieved.

引用

页码：249 / 252

页数：4

共 10 条

[1] CASE OF EXTENSIVE NECROSIS OF OESOPHAGEAL MUCOSA FOLLOWING HYPOTHERMIA [J].

BRENNAN, JL .

JOURNAL OF CLINICAL PATHOLOGY, 1967, 20 (04) :581-&

[2] Acute esophageal necrosis and low-flow state [J].

Burtally, Ahmad ;

Gregoire, Philippe .

CANADIAN JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, 2007, 21 (04) :245-247

[3] Acute oesophageal necrosis: A case report and review of the literature [J].

Day, Andrew ;

Sayegh, Mazin .

INTERNATIONAL JOURNAL OF SURGERY, 2010, 8 (01) :6-14

[4] Black esophagus: report of six cases and review of the literature, 1963-2003 [J].

Grudell, ABM ;

Mueller, PS ;

Viggiano, TR .

DISEASES OF THE ESOPHAGUS, 2006, 19 (02) :105-110

[5] Black esophagus: Acute esophageal necrosis syndrome [J].

Gurvits, Grigoriy E. .

WORLD JOURNAL OF GASTROENTEROLOGY, 2010, 16 (26) :3219-3225

[6]

Haviv YS, 1996, AM J GASTROENTEROL, V91, P2432

[7] ACUTE NECROTIZING ESOPHAGITIS - ANOTHER CASE [J].

MARIECHRISTINE, BI ;

PASCAL, B ;

JEANPIERRE, P .

GASTROENTEROLOGY, 1991, 101 (01) :281-281

[8] Inverted takotsubo cardiomyopathy due to subarachnoid haemorrhage [J].

Michels, G. ;

Pfister, R. .

MEDIZINISCHE KLINIK-INTENSIVMEDIZIN UND NOTFALLMEDIZIN, 2016, 111 (02) :145-149

[9]

Moller K, 2014, THESIS

[10] Necrotizing esophagitis presenting as a black esophagus [J].

Obermeyer, R ;

Kasirajan, K ;

Erzurum, V ;

Chung, D .

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1998, 12 (12) :1430-1433

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