Black esophagus and duodenal perforation : more than an incidental association
Journal | Volume 78 - 2015 |
Issue | Fasc.2 - Letters |
Author(s) | Aydın şeref Köksal, AGEB, Erkan Parlak, Mustafa Ihsan Uslan, Ersin Cücen |
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(1) Department of Gastroenterology, Sakarya University, Faculty of Medicine, Sakarya, Turkey ; (2) Department of General Surgery, Sakarya Education and Research Hospital, Sakarya, Turkey. |
Black esophagus has an estimated incidence ranging from 0.01% to 0.28% in large endoscopy series (1). It is characterized by a circumferential black colored necrotic esophageal mucosa with a predilection to the distal esophagus and turning sharply to normal at the gastro- esophageal junction. The etiology includes a combined effect of ischemic injury, impaired esophageal mucosal defense systems, and backflow injury from gastric con- tents. Herein we report a patient with black esophagus and perforated duodenal ulcer suggesting that the com- mon blood supply of the two entities makes them etio- logically related. |
© Acta Gastro-Enterologica Belgica. PMID 26151701 |