Acute Esophageal Necrosis Associated with Esophageal Foreign Body Injury and the Development of Pneumomediastinum

다국어 초록 (Multilingual Abstract)

A 74-year-old woman complained of dysphagia and hemoptysis after ingesting a fragment of crab shell while eating crab saltedfermented fish products, and presented dyspnea that had lasted for three days. Computed tomography indicated pneumomediastinum.

Laboratory results revealed acute renal failure. The patient experienced respiratory distress and shock over the days following her initial presentation. Upper gastrointestinal endoscopy revealed black pigmentation of the esophageal mucosa from the middle to lower esophagus. Despite intensive care, the patient’s condition deteriorated and she died. This is the first case of acute esophageal necrosis associated with esophageal foreign body injury and the development of pneumomediastinum reported in Korea.

참고문헌 (Reference)

1 박지훈, "Transcatheter Arterial Embolization of Arterial Esophageal Bleeding with the Use of N-Butyl Cyanoacrylate" 대한영상의학회 10 (10): 361-365, 2009

2 Neumann DA 2nd, "Proximal black esophagus: a case report and review of the literature" 70 : 180-181, 2009

3 Liang SG, "Pneumomediastinum following esophageal rupture associated with hyperemesis gravidarum" 28 : 172-175, 2002

4 Athanassiadi K, "Management of esophageal foreign bodies: a retrospective review of 400 cases" 21 : 653-656, 2002

5 McLaughlin CW, "Management of acute esophageal necrosis syndrome" 141 : e23-e24, 2011

6 Moretóo M, "Idiopathic acute esophageal necrosis: not necessarily a terminal event" 25 : 534-538, 1993

7 Daniel G, "Clinical features and out comes of acute necrotizing esophagitis (Black esophagus)" 95 : 2420-, 2000

8 Grudell AB, "Black esophagus: report of six cases and review of the literature" 19 : 105-110, 2006

9 Gurvits GE, "Black esophagus: acute esophageal necrosis syndrome" 16 : 3219-3225, 2010

10 Reichart M, "Black esophagus: a view in the dark" 13 : 311-313, 2000

11 Cattan P, "Black esophagus associated with herpes esophagitis" 49 : 105-107, 1999

12 Jae Won Hong, "Black Esophagus Associated with Alcohol Abuse" 거트앤리버 발행위원회 2 (2): 133-135, 2008

13 Augusto F, "Acute necrotizing esophagitis: a large retrospective case series" 36 : 411-415, 2004

14 Goldenberg SP, "Acute necrotizing esophagitis" 98 : 493-496, 1990

15 Gurvits GE, "Acute esophageal necrosis: a rare syndrome" 42 : 29-38, 2007

16 Singh D, "Acute esophageal necrosis: a case series of five patients presenting with “Black esophagus”" 30 : 41-45, 2011

17 Ben Soussan E, "Acute esophageal necrosis: a 1-year prospective study" 56 : 213-217, 2002

18 Burtally A, "Acute esophageal necrosis and low-flow state." 21 : 245-247, 2007