Deliwala Smit S, Lakshman Harini, Congdon Douglas D, Elbedawi Mamoon M, Bachuwa Ghassan, Gurvits Grigoriy E
Department of Internal Medicine, Michigan State University at Hurley Medical Center, Flint, Michigan, USA.
Department of Pathology, Michigan State University at Hurley Medical Center, Flint, Michigan, USA.
Case Rep Gastroenterol. 2020 Aug 26;14(2):443-447. doi: 10.1159/000508852. eCollection 2020 May-Aug.
Acute esophageal necrosis (AEN), black esophagus, or Gurvits syndrome is a rare clinical disorder characterized by a striking endoscopic appearance of necrotic esophageal mucosa, universally affecting the distal esophagus and ending abruptly at the gastroesophageal junction. It has been gaining traction as a demonstrable cause of upper gastrointestinal bleeding in the 21st century. Its pathophysiology is multifactorial affecting men and the elderly disproportionally, with a mortality rate nearing 36%. AEN has been associated with numerous conditions in the past, and we aim to present an unusual case of AEN on the setting of chronic alcohol use.
急性食管坏死（AEN），又称黑色食管或古尔维茨综合征，是一种罕见的临床病症，其特征为内镜下可见坏死性食管黏膜的显著表现，普遍累及食管远端并在胃食管交界处突然终止。在21世纪，它已成为上消化道出血的一个可证实病因。其病理生理学是多因素的，对男性和老年人影响尤为严重，死亡率接近36%。过去AEN与多种病症相关，我们旨在呈现一例慢性酒精使用情况下的AEN罕见病例。
