Citation

Dziadkoweic KN, Reddy R, Marcus AJ. HCA Healthc. J. Med. 2022; 3(2): 47-49.

Copyright

(Copyright © 2022, Emerald Medical Education)

DOI

10.36518/2689-0216.1082

PMID

37426380

PMCID

PMC10324688

Abstract

Description Acute esophageal necrosis (AEN), also known as "black esophagus" or Gurvits syndrome, is an uncommon finding with an unclear etiology and pathogenesis. This condition often presents as an upper gastrointestinal bleed in older men with multiple comorbidities. AEN is characterized by circumferential black, necrotic mucosa in the esophagus. We present a case of AEN following acetaminophen overdose. The patient was ultimately discharged from the hospital with oral omeprazole twice daily, a clear liquid diet, and a recommendation for follow-up in the outpatient setting for repeat EGD in 4 to 6 weeks. Acetaminophen overdose, although a rare cause, must be considered as a possible etiology of AEN.

Language: en

Keywords

attempted suicide; drug overdose; acetaminophen/poisoning; AEN; endoscopy; esophageal diseases; esophagitis; esophagus; necrosis