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.

Keyword

Diabetic ketoacidosis; Esophagus; Necrosis; Diabetes mellitus; Type 1

MeSH Terms

Biopsy
Coffee
Diabetes Mellitus
Diabetic Ketoacidosis
Endoscopy, Digestive System
Esophagus
Humans
Mucous Membrane
Necrosis
Proton Pumps
Sucralfate
Vomiting
Coffee
Proton Pumps
Sucralfate
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