Diyabetik ketoasidozun nadir bir komplikasyonu: Akut özofageal nekroz

Öz

Akut özofagus nekrozu distal özofagusu çevresel olarak tutan ve mukozada siyah nekrotik görünüme neden olan nadir görülen bir sendromdur. Prezentasyon şekli vakaların çoğunda üst gastrointestinal kanamadır. Diyabet, diyabetik ketoasidoz ve kardiyovasküler hastalıklar hastalığın risk faktörleri arasında yer alır. Biz burada diyabetik ketoasidoz komplikasyonu olarak gelişen akut özofagus nekrozu olgusundan bahsedeceğiz.

Anahtar Kelimeler

• Üst gastrointestinal kanama
• akut özofageal nekroz
• diyabetik ketoasidoz

A rare complication of diabetic ketoacidosis: Acute esophageal necrosis

Öz

Acute esophageal necrosis is a rare syndrome involving the distal esophagus peripherally and causing a black necrotic appearance in the mucosa. The clinical presentation is upper gastrointestinal bleeding in most cases. Diabetes, diabetic ketoacidosis and cardiovascular diseases are among the risk factors for the disease. Here, we present a case of acute esophageal necrosis as a complication of diabetic ketoacidosis.

Anahtar Kelimeler

• Upper gastrointestinal bleeding
• acute esophageal necrosis
• diabetic ketoacidosis

Kaynakça

1. 1. Choksi V, Dave K, Cantave R, et al. "Black Esophagus" or Gurvits Syndrome: A Rare Complication of Diabetic Ketoacidosis. Case Rep Gastrointest Med 2017;2017:4815752.
2. 2. Day A, Sayegh M. Acute oesophageal necrosis: a case report and review of the literature. Int J Surg 2010;8:6-14.
3. 3. Goldenberg SP, Wain SL, Marignani P. Acute necrotizing esophagitis. Gastroenterology 1990;98:493-6.
4. 4. Etienne JP, Roge J, Delavierre P, Veyssier P. [Esophageal necrosis of vascular origin]. Sem Hop 1969;45:1599-606.
5. 5. Augusto F, Fernandes V, Cremers MI, et al. Acute necrotizing esophagitis: a large retrospective case series. Endoscopy 2004;36:411-5.
6. 6. Abdullah HM, Ullah W, Abdallah M, et al. Clinical presentations, management, and outcomes of acute esophageal necrosis: a systemic review. Expert Rev Gastroenterol Hepatol 2019;13:507-14.
7. 7. Gurvits GE, Cherian K, Shami MN, et al. Black esophagus: new insights and multicenter international experience in 2014. Dig Dis Sci 2015;60:444-53.
8. 8. Im JH, Kim MS, Lee SY, et al. A case of acute esophageal necrosis in a patient with diabetic ketoacidosis. Korean J Med 2012;83:117-21.

9. 9. Ben Soussan E, Savoye G, Hochain P, et al. Acute esophageal necrosis: a 1-year prospective study. Gastrointest Endosc 2002;56:213-7.
10. 10. Dias E, Santos-Antunes J, Macedo G. Diagnosis and management of acute esophageal necrosis. Ann Gastroenterol 2019;32:529-40.