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Multidisciplinary management of a patient with acute oesophageal necrosis and severe neurological symptoms with full recovery
Katrīna Terehova
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Faculty of Medicine and Life Sciences, University of Latvia, Riga, Latvia |
Poļina Zaļizko
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Faculty of Medicine and Life Sciences, University of Latvia, Riga, Latvia; Pauls Stradins Clinical University Hospital, Riga, Latvia |
Krista Lazdovska
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Pauls Stradins Clinical University Hospital, Riga, Latvia |
Raimonds Skumbiņš
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Pauls Stradins Clinical University Hospital, Riga, Latvia |
Aldis Puķītis
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Faculty of Medicine and Life Sciences, University of Latvia, Riga, Latvia; Pauls Stradins Clinical University Hospital, Riga, Latvia |
Keywords
Acute oesophageal necrosis, black oesophagus, oesophageal necrosis
Abstract
Background: Acute oesophageal necrosis is a rare and poorly understood disorder of the oesophagus. It poses significant diagnostic and therapeutic challenges as it often presents with multiple comorbidities and a poor prognosis.
Case report: We report a case of 42-year-old male with no significant medical history, who presented to our clinic due to neurological deficits and repeated vomiting for 2 weeks. He initially denied alcohol abuse. Upper endoscopy demonstrated circular black discoloration of the distal oesophagus. The patient was treated with proton pump inhibitors and received treatment for his comorbidities. Esophagogastroduodenoscopy was performed to assess improvement. The patient’s symptoms gradually resolved.
Conclusion: This case is one of the few to show an association between alcohol abuse and acute oesophageal necrosis and underscores the importance of timely diagnosis and multidisciplinary treatment in patient with fully recovered condition.
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Published:
2025-01-13
Issue:
Vol. 12 No. 2 (2025)
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