ACUTE ESOPHAGEAL NECROSIS : A RARE CONDITION CASE REPORT

Background:Acute esophageal necrosis (AEN) is a rare life threatening condition. Diagnosis is based on esophagogastroduodenoscopy (EGD) and shows a striking black esophagus appearance with an abrupt interruption at the gastroesophagealjunction. Prognosis depends on the severity of the disease and on the underlying comorbidities.

Presentation of case: We report a case of a 71 years old female with history of diabetes mellitus and cardiac arrythmia. She has been admitted in emergency for a fracture of the upper end of the femurthat has been surgically managed. The procedure was marked by a low-flow state secondary to an important bleeding during surgery. Two days later, she presented with hematemesis. Upper gastrointestinal endoscopy showed a black esophagus. Management was based on total parenteral nutrition, intravenous proton pump inhibitor and fluid resuscitation.