Korean J Gastroenterol.  2010 Dec;56(6):373-376. 10.4166/kjg.2010.56.6.373.

A Case of Acute Necrotizing Esophagitis

• Choi EJ
• Lee SH
• Lee SH

• KMID: 1775853
• DOI: http://doi.org/10.4166/kjg.2010.56.6.373

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.

Keyword

Necrotizing; Esophagitis; Black esophagus

Figure

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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.

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  Fig. 2. Microscopic finding. Inflammatory infiltration with ne-crotic tissue without viral infection was observed at endoscopic biopsy specimen.

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  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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