Chinta Siddharth, Jyala Abhilasha, Ghazanfar Haider, Makker Jasbir
Internal Medicine, BronxCare Hospital Center, Bronx, USA.
Gastroenterology, BronxCare Hospital Center, Bronx, USA.
Cureus. 2024 Jan 21;16(1):e52660. doi: 10.7759/cureus.52660. eCollection 2024 Jan.
Acute esophageal necrosis (AEN) also known as necrotizing esophagitis or black esophagus is an extremely rare cause of upper gastrointestinal (GI) bleeding. This condition is considerably rare, and the exact pathophysiology of the development of AEN is still unclear. There is consensus that it is caused by a combination of esophageal mucosal injury due to gastric acid and ischemic injury due to vascular compromise. The management of AEN includes correcting the multitude of underlying predisposing conditions as well as agile symptomatic management and close monitoring for signs of hemodynamic compromise. We here present an interesting case of a middle-aged male patient who presented with hematemesis and underwent emergent esophagogastroduodenoscopy (EGD), which revealed severe necrotic esophagus. We also discussed the risk factors, pathophysiology, and management of AEN.
急性食管坏死（AEN），也称为坏死性食管炎或黑色食管，是上消化道（GI）出血的极其罕见的原因。这种情况相当罕见，AEN发生的确切病理生理学仍不清楚。人们普遍认为，它是由胃酸引起的食管粘膜损伤和血管受损导致的缺血性损伤共同作用所致。AEN的治疗包括纠正多种潜在的诱发因素，以及灵活的对症治疗和密切监测血流动力学不稳定的迹象。我们在此介绍一例有趣的中年男性患者，该患者出现呕血并接受了急诊食管胃十二指肠镜检查（EGD），检查发现食管严重坏死。我们还讨论了AEN的危险因素、病理生理学和治疗方法。
