Choi Eun Jung, Lee Si Hyung, Lee Sang Hee
Department of Internal Medicine, Yeungnam University School of Medicine, Daegu, Korea.
Korean J Gastroenterol. 2010 Dec;56(6):373-6. doi: 10.4166/kjg.2010.56.6.373.
Acute necrotizing esophagitis, which presents as a black esophagus on endoscopy, is a rare disorder. We report a case of a 48-year-old male with acute necrotizing esophagitis, associated with alcoholic hepatitis. He was admitted to our hospital because of hematemesis. On initial upper esophagogastroduodenoscopy, diffuse friable black colored mucosa at whole length of the esophagus was observed. After conservative treatment with proton-pump inhibitor, esophageal mucosal lesion was healed without complication.
急性坏死性食管炎在内镜检查中表现为食管呈黑色,是一种罕见的疾病。我们报告一例48岁男性患有急性坏死性食管炎,并伴有酒精性肝炎。他因呕血入院。初次上消化道内镜检查时,观察到食管全长弥漫性易碎的黑色黏膜。经质子泵抑制剂保守治疗后,食管黏膜病变愈合,无并发症。