A CASE OF ACUTE ESOPHAGEAL NECROSIS ASSOCIATED WITH DIABETES

Abstract

A 33-year-old man was admitted to our hospital with hematemesis. Upper gastrointestinal endoscopy on admission revealed a circumferentially black esophageal mucosa and erosions from just below the pharyngoesophagea1 constriction to the esophagogastric junction. A diagnostic biopsy following an upper gastrointestinal endoscopy revealed that the patient had acute esophageal necrosis. Diabetic acidosis is one of the risk factor of acute esophageal necrosis. We report on a case in which high esophageal internal pressure with vomiting caused severe dehydration with the diabetic acidosis and acid reflux.