| Autor: |
Lekha Yadukumar, MD, Hunain Aslam, MD, Khalid Ahmed, MD, Peter Iskander, MD, Khadijah Sajid, MD, Omar Syed, MD, Mark M. Aloysius, MD, Simin Nasr, MD, Vikas Khurana, MD |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
|
| Zdroj: |
Gastro Hep Advances, Vol 2, Iss 6, Pp 827-829 (2023) |
| Druh dokumentu: |
article |
| ISSN: |
2772-5723 |
| DOI: |
10.1016/j.gastha.2023.04.002 |
| Popis: |
Acute esophageal necrosis is a rare condition; visualization of necrosis on esophagoduodenoscopy can help establish the diagnosis. Due to variations in blood supply, there is a higher propensity for ischemic episodes to occur along the lower esophagus; these can be of particular importance during times of hypotension. Underlying infections and atherosclerosis can further exacerbate blood supply leading to ischemia in these watershed zones. We present a case of a patient with Klebsiella pneumonia who was found to have “coffee-ground” output on nasogastric tube suctioning. Esophagoduodenoscopy was performed, which showed evidence of circumferential esophageal necrosis. Unfortunately, despite antibiotic and vasopressor support, the patient ultimately passed away. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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