Korean J Med.
2012 Jul;83(1):117-121.
A Case of Acute Esophageal Necrosis in a Patient with Diabetic Ketoacidosis
- Affiliations
-
- 1Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea. shoney@inha.ac.kr
Abstract
- Acute esophageal necrosis is a rare clinical entity characterized by the endoscopic finding of extensive black discoloration of the esophageal mucosa. Acute esophageal necrosis in a patient with diabetic ketoacidosis has rarely been reported. We report a case of acute esophageal necrosis in a patient with diabetic ketoacidosis. The patient had coffee ground emesis and, after an esophagogastroduodenoscopy with mucosal biopsy, acute esophageal necrosis was diagnosed. The patient was treated conservatively with an intravenous proton pump inhibitor and oral sucralfate without any complications.