Diffuse Necrosis: A Rare Case of Idiopathic Black Esophagus, Duodenum, and Jejunum

Black esophagus, or acute esophageal necrosis (AEN), is a rare, life-threatening disorder that typically presents in patients who have multiple comorbid conditions and is essential to diagnose as soon as possible. Although AEN is commonly seen in patients who are critically ill, it is unusual for pa...

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Main Authors: Pooja J. Mude, Adonis Imam
Format: Article
Language:English
Published: American College of Physicians 2022-04-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2022.0117
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author Pooja J. Mude
Adonis Imam
author_facet Pooja J. Mude
Adonis Imam
author_sort Pooja J. Mude
collection DOAJ
description Black esophagus, or acute esophageal necrosis (AEN), is a rare, life-threatening disorder that typically presents in patients who have multiple comorbid conditions and is essential to diagnose as soon as possible. Although AEN is commonly seen in patients who are critically ill, it is unusual for patients to have mild subjective symptoms and otherwise remain clinically stable. We present a peculiar case of a patient who had endoscopic findings showing extensive necrosis of his esophagus, duodenum, and jejunum with sparing of the stomach and only mild symptomatology.
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series Annals of Internal Medicine: Clinical Cases
spelling doaj-art-978f4462bccb4005886d6cefd6b5ccdf2025-08-20T02:27:23ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642022-04-011210.7326/aimcc.2022.0117Diffuse Necrosis: A Rare Case of Idiopathic Black Esophagus, Duodenum, and JejunumPooja J. Mude0Adonis Imam11Medical College of Georgia at Augusta University, Augusta, Georgia1Medical College of Georgia at Augusta University, Augusta, GeorgiaBlack esophagus, or acute esophageal necrosis (AEN), is a rare, life-threatening disorder that typically presents in patients who have multiple comorbid conditions and is essential to diagnose as soon as possible. Although AEN is commonly seen in patients who are critically ill, it is unusual for patients to have mild subjective symptoms and otherwise remain clinically stable. We present a peculiar case of a patient who had endoscopic findings showing extensive necrosis of his esophagus, duodenum, and jejunum with sparing of the stomach and only mild symptomatology.https://www.acpjournals.org/doi/10.7326/aimcc.2022.0117
spellingShingle Pooja J. Mude
Adonis Imam
Diffuse Necrosis: A Rare Case of Idiopathic Black Esophagus, Duodenum, and Jejunum
Annals of Internal Medicine: Clinical Cases
title Diffuse Necrosis: A Rare Case of Idiopathic Black Esophagus, Duodenum, and Jejunum
title_full Diffuse Necrosis: A Rare Case of Idiopathic Black Esophagus, Duodenum, and Jejunum
title_fullStr Diffuse Necrosis: A Rare Case of Idiopathic Black Esophagus, Duodenum, and Jejunum
title_full_unstemmed Diffuse Necrosis: A Rare Case of Idiopathic Black Esophagus, Duodenum, and Jejunum
title_short Diffuse Necrosis: A Rare Case of Idiopathic Black Esophagus, Duodenum, and Jejunum
title_sort diffuse necrosis a rare case of idiopathic black esophagus duodenum and jejunum
url https://www.acpjournals.org/doi/10.7326/aimcc.2022.0117
work_keys_str_mv AT poojajmude diffusenecrosisararecaseofidiopathicblackesophagusduodenumandjejunum
AT adonisimam diffusenecrosisararecaseofidiopathicblackesophagusduodenumandjejunum