An Unusual Complication of Diverticular Bleed: Dysphagia and Food Impaction from Black Esophagus.
Publication/Presentation Date
1-1-2025
Abstract
INTRODUCTION: Acute esophageal necrosis, or black esophagus, is a rare clinical phenomenon typically seen in older men after an acute triggering event. It may present with dysphagia due to stricturing or dysmotility, a complication of severe esophageal inflammation.
CASE PRESENTATION: Here we describe a case of a woman with several cardiovascular risk factors who developed black esophagus following diverticular-related hemorrhagic shock and presented with chest pain followed by dysphagia and food impaction likely as a result of mucosal sloughing and altered esophageal motility. The diagnosis was confirmed endoscopically and pathology revealed coagulative necrosis due to ischemia.
DISCUSSION: Acute esophageal necrosis should be suspected in patients with cardiovascular risk factors and hemodynamic compromise and may be confirmed with endoscopy. As dysphagia may complicate this condition, slow advancement of diet while healing is advised.
Volume
19
Issue
1
First Page
298
Last Page
302
ISSN
1662-0631
Published In/Presented At
Noverati, N., Torre, B., Mostyka, M., Choudhary, C., Henry, C., Kastenberg, D., & Moleski, S. (2025). An Unusual Complication of Diverticular Bleed: Dysphagia and Food Impaction from Black Esophagus. Case reports in gastroenterology, 19(1), 298–302. https://doi.org/10.1159/000545171
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
40297387
Department(s)
Administration and Leadership
Document Type
Article