{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T02:47:50Z","timestamp":1780368470628,"version":"3.54.1"},"reference-count":14,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,7,12]]},"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:p>Acute oesophageal necrosis is a rare cause of haematemesis associated with high mortality and morbidity in elderly patients with multiple comorbidities. Acute oesophageal necrosis is thought to be caused by a combination of hypoperfusion, vascular disease and duodenal disease causing transient gastric outlet obstruction and therefore reflux of gastric contents. The subsequent necrosis is associated with significant morbidity and mortality. We present a case of an 83-year-old man presenting with sepsis secondary to gallstone cholangitis, who developed haematemesis 2 days post admission. Oesopho-gastro-duodenoscopy demonstrated necrosis to the oesophagus and duodenal ulceration. This was the first case of acute oesophageal necrosis observed within our hospital. We review the literature on the management of acute oesophageal necrosis and discuss the impact of acute oesophageal necrosis and its complications on the patient\u2019s long-term outcome.<\/jats:p>","DOI":"10.1136\/bcr-2021-243055","type":"journal-article","created":{"date-parts":[[2021,7,27]],"date-time":"2021-07-27T11:26:18Z","timestamp":1627385178000},"page":"e243055","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Acute oesophageal necrosis: an important differential in the elderly population with haematemesis"],"prefix":"10.1136","volume":"14","author":[{"given":"Sophie","family":"Laverick","sequence":"first","affiliation":[{"name":"Gastroenterology, Southend University Hospital NHS Foundation Trust, Westcliff-on-Sea, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Udoka","family":"Ogbuneke","sequence":"additional","affiliation":[{"name":"Gastroenterology, Southend University Hospital NHS Foundation Trust, Westcliff-on-Sea, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioannis","family":"Koumoutsos","sequence":"additional","affiliation":[{"name":"Gastroenterology, Southend University Hospital NHS Foundation Trust, Westcliff-on-Sea, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahed","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Gastroenterology, Southend University Hospital NHS Foundation Trust, Westcliff-on-Sea, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,7,27]]},"reference":[{"key":"2025082801005005000_14.7.e243055.1","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1016\/0016-5085(90)90844-Q","article-title":"Acute necrotizing esophagitis","volume":"98","author":"Goldenberg","year":"1990","journal-title":"Gastroenterology"},{"key":"2025082801005005000_14.7.e243055.2","doi-asserted-by":"publisher","DOI":"10.1007\/s00535-006-1974-z"},{"key":"2025082801005005000_14.7.e243055.3","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1080\/17474124.2019.1601555","article-title":"Clinical presentations, management, and outcomes of acute esophageal necrosis: a systemic review","volume":"13","author":"Abdullah","year":"2019","journal-title":"Expert Rev Gastroenterol Hepatol"},{"key":"2025082801005005000_14.7.e243055.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(02)70180-6"},{"key":"2025082801005005000_14.7.e243055.5","first-page":"529","article-title":"Diagnosis and management of acute esophageal necrosis","volume":"32","author":"Dias","year":"2019","journal-title":"Ann Gastroenterol"},{"key":"2025082801005005000_14.7.e243055.6","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1007\/s10620-014-3382-1","article-title":"Black esophagus: new insights and multicenter international experience in 2014","volume":"60","author":"Gurvits","year":"2015","journal-title":"Dig Dis Sci"},{"key":"2025082801005005000_14.7.e243055.7","doi-asserted-by":"crossref","first-page":"1532","DOI":"10.3390\/jcm8101532","article-title":"Occurrence of acute oesophageal necrosis (black oesophagus) in a single tertiary centre","volume":"8","author":"Davide","year":"2019","journal-title":"J Clin Med"},{"key":"2025082801005005000_14.7.e243055.8","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v16.i26.3219"},{"key":"2025082801005005000_14.7.e243055.9","doi-asserted-by":"crossref","first-page":"1491","DOI":"10.1111\/ans.15551","article-title":"Acute oesophageal necrosis following septic cellulitis","volume":"90","author":"Panesar","year":"2020","journal-title":"ANZ J Surg"},{"key":"2025082801005005000_14.7.e243055.10","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1159\/000496385","article-title":"Acute esophageal necrosis: a view in the dark","volume":"13","author":"Khan","year":"2019","journal-title":"Case Rep Gastroenterol"},{"key":"2025082801005005000_14.7.e243055.11","doi-asserted-by":"crossref","unstructured":"Vien L , Yeung H . Acute esophageal necrosis (Gurvits syndrome): a rare complication of diabetic ketoacidosis in a critically ill patient. Case Rep Med 2020;5795847.doi:10.1155\/2020\/5795847","DOI":"10.1155\/2020\/5795847"},{"key":"2025082801005005000_14.7.e243055.12","doi-asserted-by":"crossref","unstructured":"Polavarapu A , Gurala D , Mudduluru B , et al . A case of acute oesophageal necrosis from unruptured thoracic aortic aneurysm. 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