A case of black esophagus with histopathologic description and characterization.

Title

A case of black esophagus with histopathologic description and characterization.

Creator

Altenburger Dana L; Wagner Aaron S; Li Shuan; Garavaglia Jan

Publisher

Archives of Pathology & Laboratory Medicine

Date

2011
2011-06

Description

Black esophagus, or acute necrotizing esophagitis, is a blackening of the esophagus that is usually distal with a sharp demarcation at the gastroesophageal border. Black esophagus is known to the gastroenterology community; however, to our knowledge it is virtually unknown in the pathology literature with only a single instance described in 1967. It is thought to occur as a poorly elucidated ischemic phenomenon. We report a case of black esophagus in a 45-year-old woman with a history of cocaine and alcohol abuse who was found unresponsive after a vague 2-day illness. On autopsy examination, the esophagus was black with ischemic necrosis of the mucosa, submucosa, and muscularis propria including a diffuse acute inflammatory infiltrate and brown pigmentation limited to the mucosa. Positive periodic acid-Schiff and negative iron stains suggest that the pigment is lipofuscin, likely secondary to ischemia.

Subject

Acute Disease; Esophagitis/complications/*diagnosis; Esophagus/blood supply/*pathology; Fatal Outcome; Female; Humans; Ischemia/complications/*pathology; Middle Aged; Necrosis; Substance-Related Disorders

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

797–798

Issue

6

Volume

135

Citation

Altenburger Dana L; Wagner Aaron S; Li Shuan; Garavaglia Jan, “A case of black esophagus with histopathologic description and characterization.,” NEOMED Bibliography Database, accessed May 10, 2021, https://neomed.omeka.net/items/show/4017.

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