A RARE CASE OF EXTENSIVE BLACK ESOPHAGUS MANAGED CONSERVATIVELY

Acute esophageal necrosis (AEN), also known as black esophagus, is a rare condition, characterized by a circumferential black appearance of the esophageal mucosa due to acute ischemia. AEN usually develops in the context of peripheral vascular disease, sepsis, multiorgan dysfunction, diabetic ketoacidosis or alcohol intoxication.

Here we show the video-report of an 85-year-old woman who underwent urgent EGDS for hematemesis, which revealed extensive AEN. This condition was successfully managed with medical therapy. Second-look EGDS, performed after 2 weeks, showed complete resolution of the necrosis. The patient was then allowed to eat a soft diet, which she tolerated well without complications.

Publication History

Article published online:
14 April 2022