Section of Forensic Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan.
Forensic Sci Int. 2011 Oct 10;212(1-3):e15-7. doi: 10.1016/j.forsciint.2011.05.024.
We report a fatal case of acute esophageal necrosis (black esophagus) in an elderly male with alcohol abuse who was found dead with coffee-ground vomiting. A postmortem examination revealed severe anemia and marked black coloring of the esophagus from the upper to the bottom end. This was accompanied by histologic evidence of extensive mucosal necrosis. Alcohol abuse and esophagitis-related vomiting were both considered to be factors that led to the acute fatal esophageal necrosis. The cause of death was undetermined. We discuss the possible role of acute esophageal necrosis in the cause of sudden death.
我们报告了一例老年男性因酗酒导致的急性食管坏死（黑食管）致死病例，该患者被发现时已死亡，呕吐物呈咖啡渣样。尸检显示严重贫血和食管从上端到下端呈现明显的黑色着色。组织学证据显示广泛的黏膜坏死。酒精滥用和食管炎相关的呕吐均被认为是导致急性致命性食管坏死的因素。死因未确定。我们讨论了急性食管坏死在猝死原因中的可能作用。
