Comprehensive review of acute oesophageal necrosis.
Acute oesophageal necrosis, also known as 'black oesophagus', is a rare condition characterised by the black discolouration of the oesophageal mucosa on endoscopy and involves the distal oesophagus in majority of cases but may also extend proximally. A number of conditions are found to be associated with it and it is thought to occur due to a combination of hypovolaemia and inadequate oesophageal protective mucosal barrier function. Gastric secretions may have a direct effect on the oesophageal mucosa. We present a case of a woman who presented with haematemesis and significant hypotension after a session of haemodialysis. Black oesophagus was confirmed on esophagogastroduodenoscopy. She was given two units of packed red blood cells and one unit of platelets, and started on a pantoprazole infusion. However, despite rigorous attempts at resuscitation the patient failed to recover.
Published In/Presented At
Ullah, W., Mehmood, A., Micaily, I., & Khan, M. S. (2019). Comprehensive review of acute oesophageal necrosis. BMJ case reports, 12(2), e227967. https://doi.org/10.1136/bcr-2018-227967
Medicine and Health Sciences
Department of Medicine