Acute Esophageal Necrosis in a Septic Patient with a History of Cardiovascular Disease

Acute Esophageal Necrosis in a Septic Patient with a History of Cardiovascular Disease

Acute esophageal necrosis (AEN), or colloquially named “black esophagus,” is a rare clinical condition often associated with ischemic injury to the esophagus secondary to splanchnic vasoconstriction during hypotensive episodes. We present a case of a 78-year-old man with extensive cardiovascular dis...

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Main Authors: Michael Coles, Victoria Madray, Pearl Uy
Format: Article
Language:English
Published: Hindawi Limited 2020-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2020/1416743
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spelling doaj-71ef6f77406546329478e38c7816bc172020-11-25T03:02:19ZengHindawi LimitedCase Reports in Gastrointestinal Medicine2090-65282090-65362020-01-01202010.1155/2020/14167431416743Acute Esophageal Necrosis in a Septic Patient with a History of Cardiovascular DiseaseMichael Coles0Victoria Madray1Pearl Uy2Augusta University, 1120 15th Street, Augusta, Georgia 30912, USAAugusta University, 1120 15th Street, Augusta, Georgia 30912, USAAugusta University, 1120 15th Street, Augusta, Georgia 30912, USAAcute esophageal necrosis (AEN), or colloquially named “black esophagus,” is a rare clinical condition often associated with ischemic injury to the esophagus secondary to splanchnic vasoconstriction during hypotensive episodes. We present a case of a 78-year-old man with extensive cardiovascular disease who was initially admitted for gallstone pancreatitis and possible cholangitis. His hospital course was complicated by possible sepsis secondary to aspiration pneumonia and hematemesis secondary to acute ischemic esophageal necrosis as noted on upper endoscopy. Interestingly, the patient only had a transient episode of hypotension (approximately 35 minutes) not requiring vasopressor support, which improved with fluid resuscitation, and endoscopic retrograde cholangiopancreatography (ERCP) done 3 days prior showed normal esophageal mucosa. Clinicians should be aware of the possibility of acute esophageal necrosis as a potential etiology of gastrointestinal (GI) bleed in patients with cardiovascular disease and sepsis.http://dx.doi.org/10.1155/2020/1416743
collection DOAJ
language English
format Article
sources DOAJ
author Michael Coles
Victoria Madray
Pearl Uy
spellingShingle Michael Coles
Victoria Madray
Pearl Uy
Acute Esophageal Necrosis in a Septic Patient with a History of Cardiovascular Disease
Case Reports in Gastrointestinal Medicine
author_facet Michael Coles
Victoria Madray
Pearl Uy
author_sort Michael Coles
title Acute Esophageal Necrosis in a Septic Patient with a History of Cardiovascular Disease
title_short Acute Esophageal Necrosis in a Septic Patient with a History of Cardiovascular Disease
title_full Acute Esophageal Necrosis in a Septic Patient with a History of Cardiovascular Disease
title_fullStr Acute Esophageal Necrosis in a Septic Patient with a History of Cardiovascular Disease
title_full_unstemmed Acute Esophageal Necrosis in a Septic Patient with a History of Cardiovascular Disease
title_sort acute esophageal necrosis in a septic patient with a history of cardiovascular disease
publisher Hindawi Limited
series Case Reports in Gastrointestinal Medicine
issn 2090-6528
2090-6536
publishDate 2020-01-01
description Acute esophageal necrosis (AEN), or colloquially named “black esophagus,” is a rare clinical condition often associated with ischemic injury to the esophagus secondary to splanchnic vasoconstriction during hypotensive episodes. We present a case of a 78-year-old man with extensive cardiovascular disease who was initially admitted for gallstone pancreatitis and possible cholangitis. His hospital course was complicated by possible sepsis secondary to aspiration pneumonia and hematemesis secondary to acute ischemic esophageal necrosis as noted on upper endoscopy. Interestingly, the patient only had a transient episode of hypotension (approximately 35 minutes) not requiring vasopressor support, which improved with fluid resuscitation, and endoscopic retrograde cholangiopancreatography (ERCP) done 3 days prior showed normal esophageal mucosa. Clinicians should be aware of the possibility of acute esophageal necrosis as a potential etiology of gastrointestinal (GI) bleed in patients with cardiovascular disease and sepsis.
url http://dx.doi.org/10.1155/2020/1416743
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AT victoriamadray acuteesophagealnecrosisinasepticpatientwithahistoryofcardiovasculardisease
AT pearluy acuteesophagealnecrosisinasepticpatientwithahistoryofcardiovasculardisease
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