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Journal of Translational Internal Medicine

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2224-4018
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Acute esophageal necrosis in a patient with end-stage renal disease on hemodialysis

Muhammad Osama Butt
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  • Department of Hepatogastroenterology, Sindh Institute of Urology and Transplantation (SIUT), Karachi - 74200, Pakistan
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/ Nasir Hassan Luck
  • Department of Hepatogastroenterology, Sindh Institute of Urology and Transplantation (SIUT), Karachi - 74200, Pakistan
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/ Syed Mujahid Hassan
  • Department of Hepatogastroenterology, Sindh Institute of Urology and Transplantation (SIUT), Karachi - 74200, Pakistan
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/ Zaigham Abbas
  • Department of Hepatogastroenterology, Sindh Institute of Urology and Transplantation (SIUT), Karachi - 74200, Pakistan
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/ Muhammed Mubarak
  • Department of Histopathology, Sindh Institute of Urology and Transplantation (SIUT), Karachi - 74200, Pakistan
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Published Online: 2015-04-24 | DOI: https://doi.org/10.4103/2224-4018.141842

Abstract

Spontaneous acute esophageal necrosis (AEN) has been reported to be extremely rare. The condition is defined as a dark pigmentation of the esophagus associated with histologic mucosal necrosis. The exact pathogenesis is still unknown, but several etiologies have been suggested including ischemia, gastric outlet obstruction, hypersensitivity to antibiotics, gastric volvulus and viral infection. We herein present a case of a middle-aged man with end-stage renal disease who presented with AEN following a hemodialysis session. Its diagnosis and management are discussed with reference to the pathogenesis of the condition.

Keywords: Barrett’s esophagus; bleeding; endoscopy; gastroesophageal reflux; necrosis

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About the article

Published Online: 2015-04-24

Published in Print: 2014-09-01


Citation Information: Journal of Translational Internal Medicine, ISSN (Online) 2224-4018, DOI: https://doi.org/10.4103/2224-4018.141842.

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© 2015. This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License. BY-NC-ND 3.0

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