Acute Esophageal Necrosis (AEN) may present with a number of clinical and laboratory findings. These findings may be overshadowed by concurrent illnesses that may have precipitated the ischemic event.


Synonyms: "black esophagus", acute necrotizing esophagitis


Clinical findings:

(1) upper gastrointestinal bleeding with hematemesis and/or melena

(2) dysphagia

(3) epigastric and/or abdominal pain

(4) nausea and/or vomiting

(5) low-grade fever

(6) lightheadedness or syncope


Laboratory findings:

(1) anemia

(2) leukocytosis


Findings on esophagoscopy:

(1) diffuse, circumferential, black-colored mucosa that ends abruptly at the gastroesophageal junction

(2) variable stricture with stenosis


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