Acute Esophageal Necrosis in a Septic Patient with a History of Cardiovascular Disease
Acute esophageal necrosis (AEN), or colloquially named “black esophagus,” is a rare clinical condition often associated with ischemic injury to the esophagus secondary to splanchnic vasoconstriction during hypotensive episodes. We present a case of a 78-year-old man with extensive cardiovascular dis...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2020/1416743 |
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| _version_ | 1832555000716328960 |
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| author | Michael Coles Victoria Madray Pearl Uy |
| author_facet | Michael Coles Victoria Madray Pearl Uy |
| author_sort | Michael Coles |
| collection | DOAJ |
| description | Acute esophageal necrosis (AEN), or colloquially named “black esophagus,” is a rare clinical condition often associated with ischemic injury to the esophagus secondary to splanchnic vasoconstriction during hypotensive episodes. We present a case of a 78-year-old man with extensive cardiovascular disease who was initially admitted for gallstone pancreatitis and possible cholangitis. His hospital course was complicated by possible sepsis secondary to aspiration pneumonia and hematemesis secondary to acute ischemic esophageal necrosis as noted on upper endoscopy. Interestingly, the patient only had a transient episode of hypotension (approximately 35 minutes) not requiring vasopressor support, which improved with fluid resuscitation, and endoscopic retrograde cholangiopancreatography (ERCP) done 3 days prior showed normal esophageal mucosa. Clinicians should be aware of the possibility of acute esophageal necrosis as a potential etiology of gastrointestinal (GI) bleed in patients with cardiovascular disease and sepsis. |
| format | Article |
| id | doaj-art-71ef6f77406546329478e38c7816bc17 |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-71ef6f77406546329478e38c7816bc172025-02-03T05:49:55ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362020-01-01202010.1155/2020/14167431416743Acute Esophageal Necrosis in a Septic Patient with a History of Cardiovascular DiseaseMichael Coles0Victoria Madray1Pearl Uy2Augusta University, 1120 15th Street, Augusta, Georgia 30912, USAAugusta University, 1120 15th Street, Augusta, Georgia 30912, USAAugusta University, 1120 15th Street, Augusta, Georgia 30912, USAAcute esophageal necrosis (AEN), or colloquially named “black esophagus,” is a rare clinical condition often associated with ischemic injury to the esophagus secondary to splanchnic vasoconstriction during hypotensive episodes. We present a case of a 78-year-old man with extensive cardiovascular disease who was initially admitted for gallstone pancreatitis and possible cholangitis. His hospital course was complicated by possible sepsis secondary to aspiration pneumonia and hematemesis secondary to acute ischemic esophageal necrosis as noted on upper endoscopy. Interestingly, the patient only had a transient episode of hypotension (approximately 35 minutes) not requiring vasopressor support, which improved with fluid resuscitation, and endoscopic retrograde cholangiopancreatography (ERCP) done 3 days prior showed normal esophageal mucosa. Clinicians should be aware of the possibility of acute esophageal necrosis as a potential etiology of gastrointestinal (GI) bleed in patients with cardiovascular disease and sepsis.http://dx.doi.org/10.1155/2020/1416743 |
| spellingShingle | Michael Coles Victoria Madray Pearl Uy Acute Esophageal Necrosis in a Septic Patient with a History of Cardiovascular Disease Case Reports in Gastrointestinal Medicine |
| title | Acute Esophageal Necrosis in a Septic Patient with a History of Cardiovascular Disease |
| title_full | Acute Esophageal Necrosis in a Septic Patient with a History of Cardiovascular Disease |
| title_fullStr | Acute Esophageal Necrosis in a Septic Patient with a History of Cardiovascular Disease |
| title_full_unstemmed | Acute Esophageal Necrosis in a Septic Patient with a History of Cardiovascular Disease |
| title_short | Acute Esophageal Necrosis in a Septic Patient with a History of Cardiovascular Disease |
| title_sort | acute esophageal necrosis in a septic patient with a history of cardiovascular disease |
| url | http://dx.doi.org/10.1155/2020/1416743 |
| work_keys_str_mv | AT michaelcoles acuteesophagealnecrosisinasepticpatientwithahistoryofcardiovasculardisease AT victoriamadray acuteesophagealnecrosisinasepticpatientwithahistoryofcardiovasculardisease AT pearluy acuteesophagealnecrosisinasepticpatientwithahistoryofcardiovasculardisease |