Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2016 Jan 20;3(2):88-91.
doi: 10.14309/crj.2016.9. eCollection 2016 Jan.

The Black Esophagus: A Rare But Deadly Disease

Affiliations
Case Reports

The Black Esophagus: A Rare But Deadly Disease

Shervin Shafa et al. ACG Case Rep J. .

Abstract

We present a series of cases of acute esophageal necrosis along with a video demonstration. The video captures a case showing the severity of necrosis of the esophageal mucosa; an orogastric tube easily passed through the esophageal lumen and into the right hemithorax. The series also demonstrates the severity of this illness, with an associated high mortality rate.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Chest x-ray from case 1 showing a large right-sided pneumothorax with an orogastric tube (arrows) malpositioned in the right hemithorax.
Figure 2
Figure 2
(A) The initial endoscopic appearance in case 4 showing black esophagus with diffuse and circumferential esophageal necrosis. (B) A severe esophageal stricture persisted even after healing, which required serial dilations to maintain patency.
Figure 3
Figure 3
Initial endoscopic appearance in case 6 showing black esophagus with a dusky appearance to the mucosa representing necrosis.

References

    1. Worrell SG, Oh DS, Greene CL, et al. . Acute esophageal necrosis: A cases series and long term follow-up. Ann Thorac Surg. 2014;98(1):341–2. - PubMed
    1. Kimura Y, Seno H, Yamashita Y. A case of acute necrotizing esophagitis. Gastrointestinal Endosc. 2014;80(3):525–526. - PubMed
    1. Gurvitis GE, Cherian K, Shami MN, et al. . Black esophagus: New insights and multicenter international experience in 2014. Dig Dis Sci. 2015;60(2):444–453. - PubMed
    1. Altenburger DL, Wagner AS, Li S, Garavaglia J. A case of black esophagus with histopathologic description and characterization. Arch Pathol Lab Med. 2011;135(6):797–8. - PubMed
    1. Grudell AB, Mueller PS, Viggiano TR. Black esophagus: Report of six cases and review of the literature, 1963–2003. Dis Esophagus. 2006;19(2):105–110. - PubMed

Publication types