Cameron Paul A, Schweiger Franzjosef
Dalhousie University, Queen Elizabeth II Health Sciences Centre, Halifax, NS, Canada B3H 2Y9.
Dalhousie University, 1276 South Park Street, Rm 483 Bethune Building, Halifax, NS, Canada B3H 2Y9.
Case Rep Med. 2017;2017:8362613. doi: 10.1155/2017/8362613. Epub 2017 Apr 24.
Black esophagus or acute esophageal necrosis rarely occurs after severe hemodynamic compromise or low-flow states. Other contributing factors may include corrosive injury from gastric contents and diminished mucosal repair mechanisms. Ischemic cholangitis, another rare clinical entity, is also usually the result of a significant vascular and/or hypotensive insult to the biliary tree. We describe the first case of combined acute esophageal necrosis and ischemic cholangiopathy in a 62-year-old male who completely recovered from the esophageal injury but developed progressive liver failure from ischemic cholangiopathy.
黑色食管或急性食管坏死在严重血流动力学障碍或低流量状态后很少发生。其他促成因素可能包括胃内容物的腐蚀性损伤和黏膜修复机制减弱。缺血性胆管炎是另一种罕见的临床病症，通常也是胆管树受到重大血管和/或低血压损伤的结果。我们描述了首例62岁男性合并急性食管坏死和缺血性胆管病的病例，该患者食管损伤完全康复，但因缺血性胆管病发展为进行性肝衰竭。
