Black esophagus associated with alcohol abuse.
Black esophagus is a rare condition of the esophagus that manifests as endoscopic findings of black-colored esophageal mucosa, which is usually caused by acute esophageal necrosis. We report a case of alcoholic patient who developed black esophagus. The 85-year-old man was admitted to Severance Hospital due to copious hematemesis over 2 days. Upper gastrointestinal endoscopy showed black-colored mucosa in the distal esophagus. Endoscopic biopsies of the esophagus revealed necrotic tissue, without any viable cells. Follow-up upper gastrointestinal endoscopy performed after supportive care with a proton-pump inhibitor, sucralfate, and total parenteral nutrition resulted in the remarkable healing of the esophageal wall with no complications.
Hong
Jae Won
JW
Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Kim
Seung Up
SU
Park
Ha Na
HN
Seo
Ju Hee
JH
Lee
Yong Chan
YC
Kim
Hoguen
H