Jaiswal Palashkumar, Araujo James L
Division of Gastroenterology and Hepatology, SUNY Downstate Medical Center, Brooklyn, NY.
Division of Gastroenterology and Hepatology, Veterans Affairs New York Harbor Healthcare System, Brooklyn Campus, Brooklyn, NY.
ACG Case Rep J. 2019 Dec 25;6(12):e00295. doi: 10.14309/crj.0000000000000295. eCollection 2019 Dec.
Acute esophageal necrosis or "black esophagus" is a rare clinical entity characterized by necrosis of the esophageal mucosa resulting from low-flow hemodynamic states. The disease commonly presents with upper gastrointestinal hemorrhage, and the diagnosis is based on the presence of circumferential black appearance of the distal esophagus with variable proximal involvement and sparing of mucosa distal to the esophagogastric junction. The disease is associated with a high mortality rate, and treatment is supportive. We describe a case of acute esophageal necrosis associated with acute postendoscopic retrograde cholangiopancreatography pancreatitis.
急性食管坏死或“黑色食管”是一种罕见的临床病症，其特征为低血流动力学状态导致的食管黏膜坏死。该病通常表现为上消化道出血，诊断依据是食管远端出现环形黑色外观，近端受累情况不一，食管胃交界处远端的黏膜未受累。该病死亡率高，治疗以支持治疗为主。我们报告一例与急性内镜逆行胰胆管造影术后胰腺炎相关的急性食管坏死病例。
