Acute Esophageal Necrosis in an Alcoholic after Successful Resuscitation from Cardiac Arrest
Introduction. We present a patient who presented to the ICU after successful resuscitation from cardiac arrest who was subsequently diagnosed with AEN. Case Presentation. A 66-year-old female presented after cardiac arrest in which return of spontaneous circulation was achieved within 7 minutes afte...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/5092906 |
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| author | Amish Shah Viveksandeep Thoguluva Chandreskar Ravi Doobay Arundeep Kahlon Ioana Amzuta |
| author_facet | Amish Shah Viveksandeep Thoguluva Chandreskar Ravi Doobay Arundeep Kahlon Ioana Amzuta |
| author_sort | Amish Shah |
| collection | DOAJ |
| description | Introduction. We present a patient who presented to the ICU after successful resuscitation from cardiac arrest who was subsequently diagnosed with AEN. Case Presentation. A 66-year-old female presented after cardiac arrest in which return of spontaneous circulation was achieved within 7 minutes after the initiation of CPR. She was intubated on the scene and found to have coffee ground emesis in her bathroom when found unresponsive. Due to the hemodynamically significant GI bleed, patient was started on IV proton pump inhibitor, octreotide, and levophed. Subsequent endoscopy showed diffuse severe mucosal changes characterized by blackness, erythema, friability, granularity, inflammation, and decreased vascular pattern in the middle third of the esophagus and in the lower third of the esophagus. Discussion. AEN is a rare syndrome with a prevalence ranging from 0.001 to 0.2% of EGD. This patient is especially rare as this patient was female and had AEN in the middle esophagus along with lower esophagus. The pathophysiology in this patient is hypothesized that she had cardiac arrest secondary to acute upper GI hemorrhage. Subsequent low-flow state (cardiac arrest) in addition to being in the setting of severe alcohol abuse led to esophageal necrosis. |
| format | Article |
| id | doaj-art-e2307fb78df94c9aa793e54205d2e06c |
| institution | DOAJ |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-e2307fb78df94c9aa793e54205d2e06c2025-08-20T03:20:58ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362017-01-01201710.1155/2017/50929065092906Acute Esophageal Necrosis in an Alcoholic after Successful Resuscitation from Cardiac ArrestAmish Shah0Viveksandeep Thoguluva Chandreskar1Ravi Doobay2Arundeep Kahlon3Ioana Amzuta4Internal Medicine Department, State University of New York Upstate Medical University, 750 E Adams St, Syracuse, NY 13210, USAInternal Medicine Department, State University of New York Upstate Medical University, 750 E Adams St, Syracuse, NY 13210, USAInternal Medicine Department, State University of New York Upstate Medical University, 750 E Adams St, Syracuse, NY 13210, USAGastroenterology Department, State University of New York Upstate Medical University, 750 E Adams St, Syracuse, NY 13210, USAPulmonary/Critical Care Department, State University of New York Upstate Medical University, 750 E Adams St, Syracuse, NY 13210, USAIntroduction. We present a patient who presented to the ICU after successful resuscitation from cardiac arrest who was subsequently diagnosed with AEN. Case Presentation. A 66-year-old female presented after cardiac arrest in which return of spontaneous circulation was achieved within 7 minutes after the initiation of CPR. She was intubated on the scene and found to have coffee ground emesis in her bathroom when found unresponsive. Due to the hemodynamically significant GI bleed, patient was started on IV proton pump inhibitor, octreotide, and levophed. Subsequent endoscopy showed diffuse severe mucosal changes characterized by blackness, erythema, friability, granularity, inflammation, and decreased vascular pattern in the middle third of the esophagus and in the lower third of the esophagus. Discussion. AEN is a rare syndrome with a prevalence ranging from 0.001 to 0.2% of EGD. This patient is especially rare as this patient was female and had AEN in the middle esophagus along with lower esophagus. The pathophysiology in this patient is hypothesized that she had cardiac arrest secondary to acute upper GI hemorrhage. Subsequent low-flow state (cardiac arrest) in addition to being in the setting of severe alcohol abuse led to esophageal necrosis.http://dx.doi.org/10.1155/2017/5092906 |
| spellingShingle | Amish Shah Viveksandeep Thoguluva Chandreskar Ravi Doobay Arundeep Kahlon Ioana Amzuta Acute Esophageal Necrosis in an Alcoholic after Successful Resuscitation from Cardiac Arrest Case Reports in Gastrointestinal Medicine |
| title | Acute Esophageal Necrosis in an Alcoholic after Successful Resuscitation from Cardiac Arrest |
| title_full | Acute Esophageal Necrosis in an Alcoholic after Successful Resuscitation from Cardiac Arrest |
| title_fullStr | Acute Esophageal Necrosis in an Alcoholic after Successful Resuscitation from Cardiac Arrest |
| title_full_unstemmed | Acute Esophageal Necrosis in an Alcoholic after Successful Resuscitation from Cardiac Arrest |
| title_short | Acute Esophageal Necrosis in an Alcoholic after Successful Resuscitation from Cardiac Arrest |
| title_sort | acute esophageal necrosis in an alcoholic after successful resuscitation from cardiac arrest |
| url | http://dx.doi.org/10.1155/2017/5092906 |
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