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Anales del Sistema Sanitario de Navarra

Print version ISSN 1137-6627

Abstract

RODRIGO, M. et al. Acute necrotizing esophagitis in an unstable patient. Anales Sis San Navarra [online]. 2009, vol.32, n.1, pp.113-116. ISSN 1137-6627.

Acute necrotizing esophagitis or black esophagus is a rare affection, described in the medical literature since 1990. Although its mechanism is not fully understood, ischemic compromise appears to be the fundamental physiopathological factor. When acute necrotizing esophagitis is found in the endoscopic study of an upper digestive haemorrhage, the prognosis is good. We present a case in which diagnosis of black esophagus was an endoscopic finding, secondary to a situation of underlying hemodynamic instability, with a fatal outcome.

Keywords : Acute necrotizing esophagitis; Rupture of abdominal aortic aneurysm.

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