Black esophagus: a case series and literature review of acute esophageal necrosis

Scand J Gastroenterol. 2018 Oct-Nov;53(10-11):1421-1424. doi: 10.1080/00365521.2018.1513064. Epub 2018 Oct 24.

Abstract

Black esophagus or acute esophageal necrosis (AEN) is a rare medical disorder which is characterized by a diffuse circumferential black esophageal mucosa. The majority of patients present with signs of upper gastrointestinal bleeding. Diagnosis is made based on esophagogastroduodenoscopy. Treatment consists of intravenous fluids, proton pomp inhibitors and additional therapies to treat the underlying illness. In this article we present five cases of patients with AEN and briefly review the literature of AEN.

Keywords: Acute esophageal necrosis; acute necrotizing esophagitis; black esophagus; endoscopy.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Acute Disease
  • Adult
  • Aged
  • Endoscopy, Digestive System
  • Esophageal Diseases / diagnosis
  • Esophageal Diseases / pathology*
  • Esophageal Diseases / therapy
  • Esophagus / blood supply
  • Esophagus / pathology*
  • Female
  • Gastrointestinal Hemorrhage / etiology
  • Humans
  • Male
  • Necrosis
  • Young Adult