PDF(Pubmed)
Abstract：
Patients with acute esophageal necrosis often present with hematemesis and upper gastrointestinal bleeding. Our case report describes a patient\'s incidental discovery of black esophagus without recent hemodynamic instability, symptoms, or evidence of blood loss anemia. As illustrated in this case, it is important to recognize these findings in patients without classic signs and symptoms to act promptly and prevent tissue ischemia or perforation. Early recognition can also help reduce the risk of long-term complications such as stricture formation. Thus, a high index of suspicion is essential for the diagnosis of acute esophageal necrosis.
摘要：
急性食管坏死患者常表现为呕血和上消化道出血。我们的病例报告描述了患者偶然发现的黑色食道，没有近期的血流动力学不稳定，症状,或失血贫血的证据。如这种情况所示，在没有典型体征和症状的患者中认识到这些发现，及时采取行动并防止组织缺血或穿孔是很重要的。早期识别还可以帮助降低长期并发症如狭窄形成的风险。因此，高度怀疑对急性食管坏死的诊断至关重要。
