An 83-year-old man presented with high blood pressure, type 2 diabetes, and a renal function disorder. He complained mainly of chest pressure and dyspnea and was hospitalized on suspicion of colon cancer ileus, based on thickening and directly visualized intestinal tract expansion of the intestinal wall by CT examination. Lower gastrointestinal tract endoscopy was also performed, indicating rectal cancer of the Borrman2 type. And We identified acute necrotizing esophagitis from the esophagogastric junction to the middle esophagus by upper gastrointestinal tract endoscopy.
Surgical intervention was performed in acknowledgment of the rapid improvement with PPI, followed by a supplementary liquid.
With necrotic esophagitis, possibility of a contribution to the onset by hypoalimentation due to the underlying malignant tumor with a microcirculatory disorder as the background factor. Acute necrotic esophagitis is rare and this case is presented with a discussion of the relevant literature on malignant tumors.
