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Unusual case of acute oesophageal necrosis
  1. Gurasees S Chawla1,
  2. Lidiya Kukova1 and
  3. Daniel S Behin2
  1. 1Internal Medicine, Montefiore Medical Center, Bronx, New York, USA
  2. 2Gastroenterology, Montefiore Medical Center, Bronx, New York, USA
  1. Correspondence to Dr Gurasees S Chawla; gchawla{at}


Acute oesophageal necrosis is a rare clinical entity that commonly affects the distal oesophagus, giving it a characteristic black appearance. It is associated with a high mortality and predominantly impacts critically ill patients. In this case report, we present a male patient in his 50s with multiple comorbidities admitted for management of ketoacidosis. The patient was overall well appearing and remained haemodynamically stable throughout the entirety of his hospital course. Despite this, necrosis was found in the proximal, middle and distal portions of the patient’s oesophagus. The presence of such extensive oesophageal injury was very atypical considering the lower severity of the patient’s condition.

  • endoscopy
  • adult intensive care
  • medical education

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  • Contributors GSC contributed research, writing and editing. LK contributed research, writing and editing. DB contributed overall guidance, direction and editing. All authors read, edited and approved the final document prior tosubmission.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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