PDF(Pubmed)
Abstract：
Acute esophageal necrosis (AEN) is a rare and often fatal pathology of unclear etiology affecting the distal two-thirds of the esophagus. Typically, elderly patients with multiple comorbidities present with signs of upper gastrointestinal (GI) hemorrhage. On endoscopy, the mucosa is black due to ischemic necrosis, resulting in the commonly used term \"black esophagus.\" We present a rare case of a 61-year-old male presenting with shortness of breath and hematemesis diagnosed as AEN through endoscopy. This case illustrates the importance of considering AEN as part of differential diagnoses in a rising elderly population with multiple comorbidities that present with upper GI hemorrhage. Treatment should be aimed at maintaining hemodynamic stability with high-dose proton pump inhibitors.
摘要：
急性食管坏死（AEN）是一种罕见且通常致命的病理，病因不明，影响食道远端三分之二。通常,患有多种合并症的老年患者存在上消化道（GI）出血的迹象。在内窥镜检查中，由于缺血性坏死，粘膜是黑色的，导致了常用的术语“黑色食道”。“我们提出了一个罕见的病例，一个61岁的男性出现呼吸急促和呕血，通过内窥镜诊断为AEN。此病例说明了将AEN作为鉴别诊断的一部分在增加的老年人群中的重要性，该人群具有多种合并症，并伴有上消化道出血。治疗应旨在维持高剂量质子泵抑制剂的血液动力学稳定性。
