Black oesophagus.
Acute oesophageal necrosis, also known as 'Black Oesophagus', is a rare endoscopic finding since its first description by Goldenberg in 1990. In endoscopic studies, the frequency ranged from 0.01% to 0.2%. The aetiology is undefined and is probably multifactorial. A 62-year-old woman, with chronic alcoholism, was admitted to the internal medicine department for dehydration and marked malnutrition problems. Melaena was detected, and oesophagogastroduodenoscopy showed black mucosa of the lower two-thirds of the oesophagus and candidiasis. The patient gradually recovered after conservative treatments (intravenous proton pump inhibitor and total parental nutrition) and fluconazole. Oesophagus stricture was developed after 1 month, and balloon dilatation was performed successfully.
Centro Hospitalar Lisboa Central, Hospital Curry Cabral, Portugal. olgaapp@gmail.com
Olga
O
Pereira
João
J
Figueira-Coelho
Bárbara
B
Picado
José Neves
JN
Costa
D000208:Acute Disease; D000437:Alcoholism / Q000150:complications; D000935:Antifungal Agents / Q000627:therapeutic use; D002177:Candidiasis / Q000150:complications* / Q000188:drug therapy; D016145:Endoscopy, Digestive System; D004940:Esophageal Stenosis / Q000209:etiology / Q000628:therapy; D004947:Esophagus / Q000382:microbiology / Q000473:pathology*; D005260:Female; D015725:Fluconazole / Q000627:therapeutic use; D005440:Fluid Therapy; D006801:Humans; D008875:Middle Aged; D009336:Necrosis / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D010288:Parenteral Nutrition; D054328:Proton Pump Inhibitors / Q000627:therapeutic use
D000935:Antifungal Agents; D054328:Proton Pump Inhibitors; D015725:Fluconazole