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Acute esophageal necrosis after kidney transplantation: A case report

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Author(s)
김나영이유진조광범진규복이주엽
Alternative Author(s)
Lee, Yoo JinCho, Kwang BumJin, Kyu BokLee, Ju Yup
Issued Date
2021
Keyword
acute esophageal necrosisblack esophagushematemesiskidney transplantation
Abstract
Rationale:
Acute esophageal necrosis (AEN) is a rare syndrome with characteristic endoscopic and pathologic findings. It usually results from a combination of tissue hypoperfusion, impaired local defense barriers, and massive reflux of gastric contents. We report a case of AEN after a kidney transplant.

Patient concerns:
A 53-year-old man with hypertension and end-stage renal disease presented with abdominal pain and a single episode of hematemesis 14 days after kidney transplantation.

Diagnosis:
Upper endoscopy revealed circumferential black coloration in the mid to lower esophageal mucosa. Esophageal biopsy showed ulcer, and immunostains were negative for viral etiology.

Interventions:
Conservative management was done with total parenteral nutrition and proton pump inhibitor.

Outcomes:
The patient experienced no further episodes of hematemesis or abdominal pain and follow-up endoscopy showed remarkable changes from the black mucosa to a red friable mucosa with whitish exudates.

Lessons:
In the case, AEN occurred in the setting of normal blood pressure after major surgery despite the absence of preceding factors such as hypotension and infections. The possibility of AEN should be considered in patients with solid organ transplantation who present with abdominal pain, dysphagia, and hematemesis.
Department
Dept. of Internal Medicine (내과학)
Publisher
School of Medicine (의과대학)
Citation
Kim, Na Young. (2021). Acute esophageal necrosis after kidney transplantation: A case report. Medicine (Baltimore), 100(6), e24623-. doi: 10.1097/MD.0000000000024623
Type
Article
ISSN
1536-5964
DOI
10.1097/MD.0000000000024623
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/43638
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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