PDF(Pubmed)
Abstract：
Black esophagus or acute esophageal necrosis (AEN) is a rare cause of upper gastrointestinal (UGI) bleeding usually involving distal esophagus. Proximal esophageal involvement is quite rare. We present an 86-year-old female with active coronavirus disease 2019 (COVID-19) infection who came in with newly diagnosed atrial fibrillation and was started on anticoagulation. She subsequently developed a UGI bleed, which was complicated by inpatient cardiac arrest. Following resuscitation and stabilization, UGI endoscopy showed circumferential black discoloration of proximal esophagus, with distal esophageal sparing. Conservative management was instituted and fortunately, repeat UGI endoscopy two weeks later showed improvement. This describes the first case of isolated proximal AEN in a COVID-19 patient.
摘要：
黑色食管或急性食管坏死（AEN）是上消化道（UGI）出血的罕见原因，通常累及食管远端。食管近端受累非常罕见。我们介绍了一名86岁女性，患有2019年活动性冠状病毒病(COVID-19)感染，她新诊断为心房颤动，并开始抗凝治疗。她随后出现了UGI出血，因住院心脏骤停而变得复杂。复苏和稳定后，UGI内镜显示食管近端环状黑色变色，远端食道保留。保守的管理，幸运的是，两周后重复UGI内镜检查显示改善.这描述了COVID-19患者中的第一例孤立的近端AEN。
