Acute oesophageal necrosis: a case report and review of the literature.

AIMS: We discuss a case of acute oesophageal necrosis and undertook a literature review of this rare diagnosis.

METHODS

The literature review was performed using Medline and relevant references from the published literature.

RESULTS

One hundred and twelve cases were identified on reviewing the literature with upper gastrointestinal bleeding being the commonest presenting feature. The majority of cases were male and the mean age of presentation is 68.4 years. This review of the literature shows a mortality rate of 38%.

CONCLUSION

Acute necrotizing oesophagitis is a serious clinical condition and is more common than previously thought. It should be suspected in those with upper GI bleed and particularly the elderly with comorbid illness. Early diagnosis with endoscopy and active management will lead towards an improvement in patient outcome.