A Case of Acute Necrotizing Esophagitis

Eun Jung Choi; Si Hyung Lee; Sang Hee Lee

doi:10.4166/kjg.2010.56.6.373

Journal List > Korean J Gastroenterol > v.56(6) > 1006749

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Choi, Lee, and Lee: A Case of Acute Necrotizing Esophagitis

Original Article

Korean J Gastroenterol 2010;56(6):373-376.

Published online: 21 February 2010

DOI: https://doi.org/10.4166/kjg.2010.56.6.373

A Case of Acute Necrotizing Esophagitis

Eun Jung Choi, M.D., Si Hyung Lee, M.D., Sang Hee Lee, M.D.

Department of Internal Medicine, Yeungnam University School of Medicine, Daegu, Korea

Correspondence to: Si Hyung Lee, M.D. Department of Internal Medicine, Yeungnam University School of Medicine, 317-1, Daemyeong-dong, Nam-gu, Daegu 705- 717, Korea Tel: +82-53-620-3830, Fax: +82-53-654-8386 E-mail: dr9696@nate.com

Received 6 April 2010 Accepted 18 June 2010

Abstract

Acute necrotizing esophagitis, which presents as a black esophagus on endoscopy, is a rare disorder. We report a case of a 48-year-old male with acute necrotizing esophagitis, associated with alcoholic hepatitis. He was admitted to our hospital because of hematemesis. On initial upper esophagogastroduodenoscopy, diffuse friable black colored mucosa at whole length of the esophagus was observed. After conservative treatment with proton-pump inhibitor, esophageal mucosal lesion was healed without complication.

Keywords: Necrotizing, Esophagitis, Black esophagus

REFERENCES

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Fig. 1.

Endoscopic findings of the esophagus. (A) Friable and black colored mucosa was observed at whole length of the esophagus. (B) Black colored mucosa abrupt-ly disappeared at esophagogastric junction.

Fig. 2.

Microscopic finding. Inflammatory infiltration with ne-crotic tissue without viral infection was observed at endoscopic biopsy specimen.

Fig. 3.

Follow-up endoscopy after 7 days ((A) mid-esophagus. (B) lower esophagus) showed much improved status of the black colored mucosa.

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