• Rev Med Interne · Aug 2022

    Case Reports

    [Acute oesophageal necrosis: A rare complication].

    • L Conrad, M Pinheiro, and L Mais.
    • Service de gastroentérologie, hôpital d'instruction des armées Desgenettes, Lyon, France.
    • Rev Med Interne. 2022 Aug 1; 43 (8): 506-508.

    IntroductionAcute esophageal necrosis (AEN) is a rare medical disorder, which is characterized by a diffuse black esophageal mucosal during upper gastrointestinal endoscopy which is a highly recommended diagnostic tool. Its high mortality rate requires to be quickly evocated and an early management.Case ReportWe report a case of a 93-year-old patient with upper gastrointestinal bleeding. The upper endoscopy shows a grade D AEN according to the Los Angeles classification. Treatment consists of a parenteral nutritional support and an intravenous proton pump inhibitors treatment, which increase chances of a favorable outcome on endoscopic controls at 2 and 6 weeks.ConclusionAEN has to be quickly evocated in a polyvascular and old patient with upper gastrointestinal bleeding. Our experience confirms that optimal and early management allow a esophageal complete healing at 6weeks.Copyright © 2021 Société Nationale Française de Médecine Interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved.

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