Korean J Helicobacter Up Gastrointest Res.  2025 Sep;25(3):284-287. 10.7704/kjhugr.2025.0036.

A Case of Black Esophagus in a Patient Presenting With Dyspnea

• Jeong J
• Bae JH
• Jo HH
• Kwon JG
• Kim EY

• KMID: 2571184
• DOI: http://doi.org/10.7704/kjhugr.2025.0036

Abstract

Acute esophageal necrosis (AEN), also known as “black esophagus,” is a rare clinical condition marked by severe damage and death of the tissue lining the esophagus. During endoscopy, AEN typically presents with a blackened appearance. Risk factors for AEN include esophageal ischemia in the setting of multi-organ dysfunction, sepsis, hypoperfusion, vasculopathy, traumatic transection of the thoracic aorta, thromboembolic phenomena, gastric volvulus, diabetic ketoacidosis, alcohol intoxication, or malignancy. Here, we report a case of AEN diagnosed in a patient presenting with dyspnea and diabetic ketoacidosis who had not been diagnosed with diabetes mellitus previously.

Keyword

Acute esophageal necrosis; Black esophagus; Ischemia; Endoscopy; Diabetic ketoacidosis