A Case of Acute Esophageal Necrosis in a Patient with Diabetic Ketoacidosis.
- Author:
Jae Hyoung IM
1
;
Min Su KIM
;
Seung Yoen LEE
;
So Hun KIM
;
Seong Bin HONG
;
Moonsuk NAM
;
Yong Seong KIM
Author Information
1. Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea. shoney@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Diabetic ketoacidosis;
Esophagus;
Necrosis;
Diabetes mellitus;
Type 1
- MeSH:
Biopsy;
Coffee;
Diabetes Mellitus;
Diabetic Ketoacidosis;
Endoscopy, Digestive System;
Esophagus;
Humans;
Mucous Membrane;
Necrosis;
Proton Pumps;
Sucralfate;
Vomiting
- From:Korean Journal of Medicine
2012;83(1):117-121
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute esophageal necrosis is a rare clinical entity characterized by the endoscopic finding of extensive black discoloration of the esophageal mucosa. Acute esophageal necrosis in a patient with diabetic ketoacidosis has rarely been reported. We report a case of acute esophageal necrosis in a patient with diabetic ketoacidosis. The patient had coffee ground emesis and, after an esophagogastroduodenoscopy with mucosal biopsy, acute esophageal necrosis was diagnosed. The patient was treated conservatively with an intravenous proton pump inhibitor and oral sucralfate without any complications.
