Multidisciplinary management of a patient with acute oesophageal necrosis and severe neurological symptoms with full recovery

Background: Acute oesophageal necrosis is a rare and poorly understood disorder of the oesophagus. It poses significant diagnostic and therapeutic challenges as it often presents with multiple comorbidities and a poor prognosis. Case report: We report a case of 42-year-old male with no significant m...

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Main Authors: Katrīna Terehova, Poļina Zaļizko, Krista Lazdovska, Raimonds Skumbiņš, Aldis Puķītis
Format: Article
Language:English
Published: SMC MEDIA SRL 2025-01-01
Series:European Journal of Case Reports in Internal Medicine
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Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/5087
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author Katrīna Terehova
Poļina Zaļizko
Krista Lazdovska
Raimonds Skumbiņš
Aldis Puķītis
author_facet Katrīna Terehova
Poļina Zaļizko
Krista Lazdovska
Raimonds Skumbiņš
Aldis Puķītis
author_sort Katrīna Terehova
collection DOAJ
description Background: Acute oesophageal necrosis is a rare and poorly understood disorder of the oesophagus. It poses significant diagnostic and therapeutic challenges as it often presents with multiple comorbidities and a poor prognosis. Case report: We report a case of 42-year-old male with no significant medical history, who presented to our clinic due to neurological deficits and repeated vomiting for 2 weeks. He initially denied alcohol abuse. Upper endoscopy demonstrated circular black discoloration of the distal oesophagus. The patient was treated with proton pump inhibitors and received treatment for his comorbidities. Esophagogastroduodenoscopy was performed to assess improvement. The patient’s symptoms gradually resolved. Conclusion: This case is one of the few to show an association between alcohol abuse and acute oesophageal necrosis and underscores the importance of timely diagnosis and multidisciplinary treatment in patient with fully recovered condition.
format Article
id doaj-art-2a27ae003d534daaa0e1fe852ddda519
institution Kabale University
issn 2284-2594
language English
publishDate 2025-01-01
publisher SMC MEDIA SRL
record_format Article
series European Journal of Case Reports in Internal Medicine
spelling doaj-art-2a27ae003d534daaa0e1fe852ddda5192025-02-04T13:37:20ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942025-01-0110.12890/2025_0050874622Multidisciplinary management of a patient with acute oesophageal necrosis and severe neurological symptoms with full recoveryKatrīna Terehova0Poļina Zaļizko1Krista Lazdovska2Raimonds Skumbiņš3Aldis Puķītis4Faculty of Medicine and Life Sciences, University of Latvia, Riga, LatviaFaculty of Medicine and Life Sciences, University of Latvia, Riga, Latvia; Pauls Stradins Clinical University Hospital, Riga, LatviaPauls Stradins Clinical University Hospital, Riga, LatviaPauls Stradins Clinical University Hospital, Riga, LatviaFaculty of Medicine and Life Sciences, University of Latvia, Riga, Latvia; Pauls Stradins Clinical University Hospital, Riga, LatviaBackground: Acute oesophageal necrosis is a rare and poorly understood disorder of the oesophagus. It poses significant diagnostic and therapeutic challenges as it often presents with multiple comorbidities and a poor prognosis. Case report: We report a case of 42-year-old male with no significant medical history, who presented to our clinic due to neurological deficits and repeated vomiting for 2 weeks. He initially denied alcohol abuse. Upper endoscopy demonstrated circular black discoloration of the distal oesophagus. The patient was treated with proton pump inhibitors and received treatment for his comorbidities. Esophagogastroduodenoscopy was performed to assess improvement. The patient’s symptoms gradually resolved. Conclusion: This case is one of the few to show an association between alcohol abuse and acute oesophageal necrosis and underscores the importance of timely diagnosis and multidisciplinary treatment in patient with fully recovered condition.https://www.ejcrim.com/index.php/EJCRIM/article/view/5087acute oesophageal necrosisblack oesophagusoesophageal necrosis
spellingShingle Katrīna Terehova
Poļina Zaļizko
Krista Lazdovska
Raimonds Skumbiņš
Aldis Puķītis
Multidisciplinary management of a patient with acute oesophageal necrosis and severe neurological symptoms with full recovery
European Journal of Case Reports in Internal Medicine
acute oesophageal necrosis
black oesophagus
oesophageal necrosis
title Multidisciplinary management of a patient with acute oesophageal necrosis and severe neurological symptoms with full recovery
title_full Multidisciplinary management of a patient with acute oesophageal necrosis and severe neurological symptoms with full recovery
title_fullStr Multidisciplinary management of a patient with acute oesophageal necrosis and severe neurological symptoms with full recovery
title_full_unstemmed Multidisciplinary management of a patient with acute oesophageal necrosis and severe neurological symptoms with full recovery
title_short Multidisciplinary management of a patient with acute oesophageal necrosis and severe neurological symptoms with full recovery
title_sort multidisciplinary management of a patient with acute oesophageal necrosis and severe neurological symptoms with full recovery
topic acute oesophageal necrosis
black oesophagus
oesophageal necrosis
url https://www.ejcrim.com/index.php/EJCRIM/article/view/5087
work_keys_str_mv AT katrinaterehova multidisciplinarymanagementofapatientwithacuteoesophagealnecrosisandsevereneurologicalsymptomswithfullrecovery
AT polinazalizko multidisciplinarymanagementofapatientwithacuteoesophagealnecrosisandsevereneurologicalsymptomswithfullrecovery
AT kristalazdovska multidisciplinarymanagementofapatientwithacuteoesophagealnecrosisandsevereneurologicalsymptomswithfullrecovery
AT raimondsskumbins multidisciplinarymanagementofapatientwithacuteoesophagealnecrosisandsevereneurologicalsymptomswithfullrecovery
AT aldispukitis multidisciplinarymanagementofapatientwithacuteoesophagealnecrosisandsevereneurologicalsymptomswithfullrecovery