Next Article in Journal
Immune Mediated Necrotizing Myopathy: A Rare Complication of Statin Therapy
Previous Article in Journal
Brunner’s Gland Hyperplasia: A Rare Cause of Gastrointestinal Bleeding
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
Clinics and Practice
Volume 10
Issue 2
10.4081/cp.2020.1254
clinpract-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles thumb_up
...
Endorse textsms
...
Comment
Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Case Report

Acute Esophageal Necrosis: A Rare Case of Upper Gastrointestinal Bleeding from Diabetic Ketoacidosis

by
Dustin J. Uhlenhopp
1,*,
Gregory Pagnotta
1 and
Tagore Sunkara
2
1
Department of Internal Medicine, MercyOne Des Moines Medical Center, Des Moines, IA, USA
2
Department of Gastroenterology and Hepatology, MercyOne Des Moines Medical Center, Des Moines, IA, USA
*
Author to whom correspondence should be addressed.
Clin. Pract. 2020, 10(2), 1254; https://doi.org/10.4081/cp.2020.1254
Submission received: 26 February 2020 / Revised: 12 June 2020 / Accepted: 12 June 2020 / Published: 29 June 2020

Abstract

Acute esophageal necrosis, also known as black esophagus or acute necrotizing esophagitis is a rare condition with roughly 154 cases reported in the literature. This condition is classically diagnosed on its endoscopic findings of a circumferentially black esophagus that abruptly ends at the gastroesophageal junction and transitions to normal gastric mucosa. When present, acute esophageal necrosis potentially signifies a poor prognosis with an overall mortality up to 36%. This case report describes a critically ill patient with multiple comorbidities that was found to have acute esophageal necrosis the entire length of the esophagus secondary to ischemia/hypoperfusion that was caused by diabetic ketoacidosis. The patient had a prolonged hospitalization but was ultimately discharged in stable condition. We also review the literature of this rare esophageal condition.
Keywords: acute esophageal necrosis; black esophagus; acute necrotizing esophagitis; diabetic ketoacidosis; upper gastrointestinal bleed acute esophageal necrosis; black esophagus; acute necrotizing esophagitis; diabetic ketoacidosis; upper gastrointestinal bleed

Share and Cite

MDPI and ACS Style

Uhlenhopp, D.J.; Pagnotta, G.; Sunkara, T. Acute Esophageal Necrosis: A Rare Case of Upper Gastrointestinal Bleeding from Diabetic Ketoacidosis. Clin. Pract. 2020, 10, 1254. https://doi.org/10.4081/cp.2020.1254

AMA Style

Uhlenhopp DJ, Pagnotta G, Sunkara T. Acute Esophageal Necrosis: A Rare Case of Upper Gastrointestinal Bleeding from Diabetic Ketoacidosis. Clinics and Practice. 2020; 10(2):1254. https://doi.org/10.4081/cp.2020.1254

Chicago/Turabian Style

Uhlenhopp, Dustin J., Gregory Pagnotta, and Tagore Sunkara. 2020. "Acute Esophageal Necrosis: A Rare Case of Upper Gastrointestinal Bleeding from Diabetic Ketoacidosis" Clinics and Practice 10, no. 2: 1254. https://doi.org/10.4081/cp.2020.1254

APA Style

Uhlenhopp, D. J., Pagnotta, G., & Sunkara, T. (2020). Acute Esophageal Necrosis: A Rare Case of Upper Gastrointestinal Bleeding from Diabetic Ketoacidosis. Clinics and Practice, 10(2), 1254. https://doi.org/10.4081/cp.2020.1254

Article Metrics

Back to TopTop