Abstract

HOOKER-HERRERA, Rosales Sebastián  and  CALAMBAS, Fredy Hernán. Black esophagus associated with shock. About a case. Rev. colomb. Gastroenterol. [online]. 2022, vol.37, n.4, pp.450-453.  Epub July 11, 2023. ISSN 0120-9957.  https://doi.org/10.22516/25007440.842.

Acute esophageal necrosis, also known as the black esophagus, is a rare pathology diagnosed by endoscopy that shows a black-looking esophageal mucosa. Its cause is unknown, but a multifactorial origin is attributed to it. An esophageal lesion of ischemic origin should be considered. We present the case of a 56-year-old patient with respiratory symptoms suggestive of a severe infectious process, with a rapidly progressive clinical picture and requirement of airway security, multimodal vasopressor, and organic support, and an endoscopic study due to clinical symptoms of upper digestive tract bleeding with evidence of lesions compatible with acute esophageal necrosis. Despite multimodal management in the intensive care unit, the patient died 34 days after hospital admission.

Keywords : Black esophagus; acute esophageal necrosis; ischemia; endoscopy.

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