DOI QR코드

DOI QR Code

Acute esophageal necrosis occurring in a patient undergoing percutaneous coronary intervention

  • Kwon, Hyung-Jin (Department of Family Medicine, Soonchunhyang University Cheonan Hospital) ;
  • Park, Sang-Ho (Department of Internal Medicine, Soonchunhyang University Cheonan Hospital) ;
  • Ahn, Ji-Hoon (Department of Internal Medicine, Soonchunhyang University Cheonan Hospital) ;
  • Lee, Tae-Hoon (Department of Internal Medicine, Soonchunhyang University Cheonan Hospital) ;
  • Lee, Chang-Kyun (Department of Internal Medicine, Kyung Hee University School of Medicine)
  • Received : 2010.06.07
  • Accepted : 2010.10.07
  • Published : 2014.05.01

Abstract

Acute esophageal necrosis is uncommon in the literature. Its etiology is unknown, although cardiovascular disease, hemodynamic compromise, gastric outlet obstruction, alcohol ingestion, hypoxemia, hypercoagulable state, infection, and trauma have all been suggested as possible causes. A 67-year-old female underwent a coronary angiography (CAG) for evaluation of chest pain. CAG findings showed coronary three-vessel disease. We planned percutaneous coronary intervention (PCI). Coronary arterial dissection during the PCI led to sudden hypotension. Six hours after the index procedure, the patient experienced a large amount of hematemesis. Emergency gastrofibroscopy was performed and showed mucosal necrosis with a huge adherent blood clot in the esophagus. After conservative treatment for 3 months, the esophageal lesion was completely improved. She was diagnosed with acute esophageal necrosis. We report herein a case of acute esophageal necrosis occurring in a patient undergoing percutaneous coronary intervention.

Keywords

References

  1. Lacy BE, Toor A, Bensen SP, Rothstein RI, Maheshwari Y. Acute esophageal necrosis: report of two cases and a review of the literature. Gastrointest Endosc 1999;49:527-532. https://doi.org/10.1016/S0016-5107(99)70058-1
  2. Goldenberg SP, Wain SL, Marignani P. Acute necrotizing esophagitis. Gastroenterology 1990;98:493-496. https://doi.org/10.1016/0016-5085(90)90844-Q
  3. Grudell AB, Mueller PS, Viggiano TR. Black esophagus: report of six cases and review of the literature, 1963-2003. Dis Esophagus 2006;19:105-110. https://doi.org/10.1111/j.1442-2050.2006.00549.x
  4. Moreto M, Ojembarrena E, Zaballa M, Tanago JG, Ibanez S. Idiopathic acute esophageal necrosis: not necessarily a terminal event. Endoscopy 1993;25:534-538. https://doi.org/10.1055/s-2007-1009121
  5. Gurvits GE, Shapsis A, Lau N, Gualtieri N, Robilotti JG. Acute esophageal necrosis: a rare syndrome. J Gastroenterol 2007;42:29-38.
  6. Neumann DA 2nd, Francis DL, Baron TH. Proximal black esophagus: a case report and review of the literature. Gastrointest Endosc 2009;70:180-181. https://doi.org/10.1016/j.gie.2008.09.055
  7. Gurvits GE. Black esophagus: acute esophageal necrosis syndrome. World J Gastroenterol 2010;16:3219-3225. https://doi.org/10.3748/wjg.v16.i26.3219
  8. Watanabe S, Nagashima R, Shimazaki Y, et al. Esophageal necrosis and bleeding gastric ulcer secondary to ruptured thoracic aortic aneurysm. Gastrointest Endosc 1999;50:847-849. https://doi.org/10.1016/S0016-5107(99)70173-2
  9. Lim SY, Jeong MH, Kim W, et al. A case of spiral dissection during diagnostic coronary angiography. Korean J Med 2003;65:361-364.

Cited by

  1. Comprehensive review of acute oesophageal necrosis vol.12, pp.2, 2019, https://doi.org/10.1136/bcr-2018-227967
  2. Clinical presentations, management, and outcomes of acute esophageal necrosis: a systemic review vol.13, pp.5, 2014, https://doi.org/10.1080/17474124.2019.1601555
  3. A case report: black oesophagus as a possible complication of transcatheter aortic valve implantation vol.3, pp.2, 2014, https://doi.org/10.1093/ehjcr/ytz069