Table 1

Characteristics of the reported cases of AON in association with cocaine use reported so far

AuthorsAge/sexPresentationUnderlying condition/comorbiditiesEndoscopic findingsManagementOutcome/complications
Shafa et al1525/MDKA, melena, acute anaemia and dysphagiaInsulin-dependent DM and HTN. Alcoholic, cocaine and cannabis userCircumferential necrosis throughout the oesophagus and a mid-oesophageal stricture 5 cm in lengthGastrostomy tube and supportive therapyRecovered
strictures
Altenburger et al1645/FFound unresponsiveCocaine and alcohol abuseOn autopsy examination, the oesophagus was black with ischaemic necrosisDied
Pineo and Pineo1730/MEpigastric pain of 1-day duration, haematemesis and weaknessCocaine, bupropion and amphetamine overdoseOesophageal necrosisPPI, intravenous opioids and nasogastric tube insertion for presumptive small bowel obstructionDied
Singh et al1849/MDysphagia, haematemesis, acute renal failure, severe GERDAchalasia, CHF, anaemia, heavy alcohol, tobacco, cocaine useNecrotic appearing friable areas of spontaneous bleedingNPO, intravenous PPI twice daily, 100 U of botulinum toxin injected at LOSRecovered
  • AON, acute oesophageal necrosis; CHF, congestive heart failure; DKA, diabetic ketoacidosis; DM, diabetes mellitus; GORD, gastro-oesophageal reflux disease; HTN, hypertension; LOS, lower oesophageal sphincter; PPI, proton pump inhibitor.