Black esophagus (acute esophageal necrosis) after spinal anesthesia.
Acute esophagic necrosis or black esophagus is an uncommon clinical entity that owes its name to the endoscopic view of the necrotic esophageal mucosa. It is always related with a critical medical condition and usually has an ischemic etiology. We report the first case of acute esophageal necrosis after a spinal anesthetic for partial hip joint arthroplasty. We discuss the underlying pathophysiological mechanisms.
Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Meixoeiro de Vigo, Complejo Hospitalario Universitario de Vigo, Vigo, Pontevedra, Spain. Electronic address: adrianaroman19@hotmail.com.
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Román Fernández
Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Meixoeiro de Vigo, Complejo Hospitalario Universitario de Vigo, Vigo, Pontevedra, Spain.
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López Álvarez
Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Meixoeiro de Vigo, Complejo Hospitalario Universitario de Vigo, Vigo, Pontevedra, Spain.
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Fossati Puertas
Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Meixoeiro de Vigo, Complejo Hospitalario Universitario de Vigo, Vigo, Pontevedra, Spain.
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Areán González
Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Meixoeiro de Vigo, Complejo Hospitalario Universitario de Vigo, Vigo, Pontevedra, Spain.
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Varela García
Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Meixoeiro de Vigo, Complejo Hospitalario Universitario de Vigo, Vigo, Pontevedra, Spain.
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Viaño López
D000208:Acute Disease; D000369:Aged, 80 and over; D000775:Anesthesia, Spinal / Q000009:adverse effects*; D019644:Arthroplasty, Replacement, Hip; D016913:Blood Component Transfusion; D003131:Combined Modality Therapy; D004947:Esophagus / Q000098:blood supply* / Q000473:pathology; D017809:Fatal Outcome; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000628:therapy; D006620:Hip Fractures / Q000601:surgery; D006801:Humans; D007022:Hypotension / Q000209:etiology* / Q000628:therapy; D007431:Intraoperative Complications / Q000209:etiology / Q000628:therapy; D007511:Ischemia / Q000209:etiology*; D009336:Necrosis; D011183:Postoperative Complications / Q000209:etiology* / Q000473:pathology; D012769:Shock / Q000209:etiology; D016683:Supine Position
Acute esophageal necrosis; Anestesia subaracnoidea; Arterial hypotension; Black esophagus; Esófago negro; Hemorragia masiva; Hipotensión arterial; Massive bleeding; Necrosis esofágica aguda; Spinal anesthesia