Black Esophagus: A Rare Case of Acute Esophageal Necrosis in a High-Risk Patient

Authors

  • Bishoy Samaan Saint George's University
  • Sunny Kumar
  • Hafsa Tahir
  • Elarea Mikhaiel
  • Mark Fahim
  • Youana Awad
  • Miray Maher

Abstract

Acute esophageal necrosis (AEN), or "black esophagus," is a rare and life-threatening condition characterized by diffuse circumferential black discoloration of the esophageal mucosa. This case report discusses a 71-year-old male with multiple comorbidities who presented with gastrointestinal bleeding and was subsequently diagnosed with AEN. The report highlights the clinical presentation, diagnostic findings, management strategies, and a review of relevant literature.

References

Gurvits, G. E. (2010, July 14). Black esophagus: Acute esophageal necrosis syndrome. World Journal of Gastroenterology. https://www.wjgnet.com/1007-9327/full/v16/i26/3219.htm

Richards, J. (2024, July 27). Esophageal necrosis. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK572075/

Abdullah HM, Ullah W, Abdallah M, Khan U, Hurairah A, Atiq M. Clinical presentations, management, and outcomes of acute esophageal necrosis: a systemic review. Expert Rev Gastroenterol Hepatol. 2019 May;13(5):507-514. doi: 10.1080/17474124.2019.1601555. Epub 2019 Apr 16. PMID: 30933549.

Sheikh, Abu B, et al. “Acute Esophageal Necrosis: An in-Depth Review of Pathogenesis, Diagnosis and Management.” Journal of Community Hospital Internal Medicine Perspectives, U.S. National Library of Medicine, 31 Jan. 2022, pmc.ncbi.nlm.nih.gov/articles/PMC9195118/.

Siddiqi A, Chaudhary FS, Naqvi HA, Saleh N, Farooqi R, Yousaf MN. Black esophagus: a syndrome of acute esophageal necrosis associated with active alcohol drinking. BMJ Open Gastroenterol. 2020 Aug;7(1):e000466. doi: 10.1136/bmjgast-2020-000466. PMID: 32788199; PMCID: PMC7422689.

Vancheri F, Longo G, Vancheri S, Henein M. Coronary microvascular dysfunction. Journal of clinical medicine. September 6, 2020. doi: 10.3390/jcm9092880. PMID: 32899944; PMCID: PMC7563453

Trad G, Sheikhan N, Ma J, Gheriani AG, Sagaslli A. Acute Esophageal Necrosis Syndrome (Black Esophagus): A Case Report of Rare Presentation. Cureus. 2022 Apr 19;14(4):e24276. doi: 10.7759/cureus.24276. PMID: 35607555; PMCID: PMC9123353.

Thomas M, Sostre Santiago V, Suhail FK, Polanco Serra G, Manocha D. The Black Esophagus. Cureus. 2021 Oct 11;13(10):e18655. doi: 10.7759/cureus.18655. PMID: 34790441; PMCID: PMC8583363.

Chinta S, Jyala A, Ghazanfar H, Makker J. Black Esophagus: A Rare Case of Acute Esophageal Necrosis. Cureus. 2024 Jan 21;16(1):e52660. doi: 10.7759/cureus.52660. PMID: 38380187; PMCID: PMC10878192.

Deliwala SS, Bala A, Haykal T, Elbedawi MM, Bachuwa G, Gurvits GE. Acute esophageal necrosis (GURVITS syndrome) presenting as Globus and altered phonation. American Journal of Case Reports. September 3, 2020. doi: 10.12659/AJCR.926019

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Published

2026-01-11

How to Cite

Samaan, B., Kumar, S., Tahir, H., Mikhaiel, E., Fahim, M., Awad, Y., & Maher, M. (2026). Black Esophagus: A Rare Case of Acute Esophageal Necrosis in a High-Risk Patient. The Scholarly Society of America, 4(1), 19–23. Retrieved from https://ssajm-online.org/ojs/index.php/SSAJM/article/view/33

Issue

Vol. 4 No. 1 (2025): Dec 2025

Section

Case Reports

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