"Black Esophagus" or Gurvits Syndrome: A Rare Cause of Upper Gastrointestinal Bleeding in Diabetic Ketoacidosis
Black esophagus, also called Gurvits syndrome or acute esophageal necrosis (AEN), is a rare, life-threatening condition characterized by necrosis of the esophageal mucosa. We present a 36-year-old man who presented with hematemesis and was admitted for diabetic ketoacidosis (DKA) management. He then...
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| Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2023-02, Vol.15 (2), p.e34989 |
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| creator | Jaber, Fouad Alsakarneh, Saqr Sripada, Sruthi Gaur, Rishabh Rajab, Rawan Mohamed, Islam Sanders, Kimberly Ghoz, Hassan |
| description | Black esophagus, also called Gurvits syndrome or acute esophageal necrosis (AEN), is a rare, life-threatening condition characterized by necrosis of the esophageal mucosa. We present a 36-year-old man who presented with hematemesis and was admitted for diabetic ketoacidosis (DKA) management. He then had a further episode of hematemesis with hemodynamic instability. The esophagogastroduodenoscopy (EGD) revealed ulcerative, necrotizing, circumferential esophagitis in the middle and distal third of the esophagus. The patient was treated with intravenous fluid resuscitation, proton pump inhibitors, empiric antibiotics, and antifungals. Hematemesis in DKA should raise suspicion for black esophagus. Prompt detection of AEN allows for early management and thus reduces mortality and associated complications such as perforations and strictures. |
| doi_str_mv | 10.7759/cureus.34989 |
| format | Article |
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We present a 36-year-old man who presented with hematemesis and was admitted for diabetic ketoacidosis (DKA) management. He then had a further episode of hematemesis with hemodynamic instability. The esophagogastroduodenoscopy (EGD) revealed ulcerative, necrotizing, circumferential esophagitis in the middle and distal third of the esophagus. The patient was treated with intravenous fluid resuscitation, proton pump inhibitors, empiric antibiotics, and antifungals. Hematemesis in DKA should raise suspicion for black esophagus. Prompt detection of AEN allows for early management and thus reduces mortality and associated complications such as perforations and strictures.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.34989</identifier><identifier>PMID: 36938273</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>Abdomen ; Antibiotics ; Antifungal agents ; Biopsy ; Blood clots ; Diabetes ; Diabetic ketoacidosis ; Esophagus ; Gastroenterology ; Hematemesis ; Hemodialysis ; Hemoglobin ; Hypertension ; Kidney diseases</subject><ispartof>Curēus (Palo Alto, CA), 2023-02, Vol.15 (2), p.e34989</ispartof><rights>Copyright © 2023, Jaber et al.</rights><rights>Copyright © 2023, Jaber et al. This work is published under https://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2023, Jaber et al. 2023 Jaber et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c267t-b7165573beed30034a9d3ffd730a70ccb7018b617481ddd676f47fa9a15b88833</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10019910/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10019910/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36938273$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jaber, Fouad</creatorcontrib><creatorcontrib>Alsakarneh, Saqr</creatorcontrib><creatorcontrib>Sripada, Sruthi</creatorcontrib><creatorcontrib>Gaur, Rishabh</creatorcontrib><creatorcontrib>Rajab, Rawan</creatorcontrib><creatorcontrib>Mohamed, Islam</creatorcontrib><creatorcontrib>Sanders, Kimberly</creatorcontrib><creatorcontrib>Ghoz, Hassan</creatorcontrib><title>"Black Esophagus" or Gurvits Syndrome: A Rare Cause of Upper Gastrointestinal Bleeding in Diabetic Ketoacidosis</title><title>Curēus (Palo Alto, CA)</title><addtitle>Cureus</addtitle><description>Black esophagus, also called Gurvits syndrome or acute esophageal necrosis (AEN), is a rare, life-threatening condition characterized by necrosis of the esophageal mucosa. 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Prompt detection of AEN allows for early management and thus reduces mortality and associated complications such as perforations and strictures.</description><subject>Abdomen</subject><subject>Antibiotics</subject><subject>Antifungal agents</subject><subject>Biopsy</subject><subject>Blood clots</subject><subject>Diabetes</subject><subject>Diabetic ketoacidosis</subject><subject>Esophagus</subject><subject>Gastroenterology</subject><subject>Hematemesis</subject><subject>Hemodialysis</subject><subject>Hemoglobin</subject><subject>Hypertension</subject><subject>Kidney diseases</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNpVkc1LAzEQxYMoVrQ3zxL0ajXZbDeJF7H1EwuC2nPIJtka3W7WJFvof2-0tehpBubHm3nzADjE6IzSIT9XnTddOCM5Z3wL7GW4YAOGWb79p--BfgjvCCGMaIYo2gU9UnDCMkr2gDse1VJ9wJvg2jc568IxdB7edX5hY4Avy0Z7NzcX8Ao-S2_gWHbBQFfBaduaxMkQvbNNNCHaRtZwVBujbTODtoHXVpYmWgUfTXRSWe2CDQdgp5J1MP113QfT25vX8f1g8nT3ML6aDFRW0DgoKS6GQ0rKJEcQIrnkmlSVpgRJipQqKcKsLDDNGdZaF7SoclpJLvGwZIwRsg8uV7ptV86NVqaJXtai9XYu_VI4acX_SWPfxMwtBE5_4hyjpHCyVvDus0sGxbvrfDIZREY5IQTlOU7U6YpS3oXgTbVZgZH4jkisIhI_ESX86O9ZG_g3EPIF7daOmg</recordid><startdate>20230214</startdate><enddate>20230214</enddate><creator>Jaber, Fouad</creator><creator>Alsakarneh, Saqr</creator><creator>Sripada, Sruthi</creator><creator>Gaur, Rishabh</creator><creator>Rajab, Rawan</creator><creator>Mohamed, Islam</creator><creator>Sanders, Kimberly</creator><creator>Ghoz, Hassan</creator><general>Cureus Inc</general><general>Cureus</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>20230214</creationdate><title>"Black Esophagus" or Gurvits Syndrome: A Rare Cause of Upper Gastrointestinal Bleeding in Diabetic Ketoacidosis</title><author>Jaber, Fouad ; 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| subjects | Abdomen Antibiotics Antifungal agents Biopsy Blood clots Diabetes Diabetic ketoacidosis Esophagus Gastroenterology Hematemesis Hemodialysis Hemoglobin Hypertension Kidney diseases |
| title | "Black Esophagus" or Gurvits Syndrome: A Rare Cause of Upper Gastrointestinal Bleeding in Diabetic Ketoacidosis |
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