Black esophagus as a cause of upper gastrointestinal bleeding: A case report

Carlin A.; Bellido Á.; Gómez P.; Valenzuela V.; Pinto J.L. · Revista Colombiana de Gastroenterologia (2020) · DOI: 10.22516/25007440.408

Resumen

Acute necrotizing esophagitis is a rare entity that affects mainly elderly patients. The most common clinical presentation is upper gastrointestinal bleeding. The prognosis depends on the underlying diseases, with a mortality of up to 50%. This is the case of a 77-year-old male patient who presented with melena, three episo-des of hematemesis, and epigastric pain for a week. Upper endoscopy revealed mucosa with spotty necrosis and fibrin in the middle and distal esophagus. Esophageal biopsy was compatible with mucosal necrosis.

Instituciones: Universidad Peruana Cayetano Heredia