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Chapter 8,011

"Black esophagus": a rare complication of shock

Haviv, Y.S.; Reinus, C.; Zimmerman, J.

American Journal of Gastroenterology 91(11): 2432-2434

1996

ISSN/ISBN: 0002-9270
PMID: 8931435
Accession: 008010129
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An 83-yr-old man was admitted to our hospital in a state of shock. Twenty four hours after his admission, he started to pass fresh blood from his nasogastric tube. Upper endoscopy revealed diffuse, confluent blackening of the esophageal mucosa. A repeated endoscopy, after hemodynamic stabilization, demonstrated a striking improvement with granulation tissue. Caustic injury and viral or fungal infections were ruled out by history, clinical features, and appropriate tests. We suggest that in this elderly patient, a state of shock resulted in ischemic infarction of the esophageal mucosa.

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