case_images: PMC6547274_01
case_images: Esophagogastroduodenoscopy revealed a black esophagus in the distal part of the esophagus, ending abruptly at the gastroesophageal junction.
case_images: crg-0013-0025-g01.jpg
case_images: PMC6547274_01_crg-0013-0025-g01.jpg
case_images: F1
case_images: A bedside upper endoscopy was performed to reveal a blackened esophagus, beginning at 25 cm and extending distally to end abruptly at the gastroesophageal junction (Fig. 1).
case_images: Esophageal biopsy showing a necrotic esophagus with inflammatory infiltrate. H&E. Original magnification, x100.
case_images: crg-0013-0025-g02.jpg
case_images: PMC6547274_01_crg-0013-0025-g02.jpg
case_images: F2
case_images: Biopsies showed necrotic debris without viral inclusion bodies or fungal hyphae (Fig. 2).
case_images: PMC6547274_02
case_images: Esophagogastroduodenoscopy showing diffuse and circumferential esophageal necrosis.
case_images: crg-0013-0025-g03.jpg
case_images: PMC6547274_02_crg-0013-0025-g03.jpg
case_images: F3
case_images: Upper endoscopy revealed AEN, starting at the mid esophagus with an abrupt cutoff at the gastroesophageal junction (Fig. 3).
case_images: PMC6547274_03
case_images: Esophagogastroduodenoscopy showing extensive esophageal necrosis with mucosal flaps involving the middle and distal thirds of the esophagus, raising the possibility of full-thickness esophageal necrosis.
case_images: crg-0013-0025-g04.jpg
case_images: PMC6547274_03_crg-0013-0025-g04.jpg
case_images: F4
case_images: The gastroenterology team was consulted due to hematemesis, and the patient was found to have extensive esophageal necrosis with mucosal flaps involving the middle and distal thirds of the esophagus, raising the possibility of full-thickness esophageal necrosis (Fig. 4).