Acute oesophageal necrosis in patients with diabetic ketoacidosis
Edling, P.; Thomsen, H.
Ugeskrift for Laeger 175(48a)
2013
ISSN/ISBN: 1603-6824 PMID: 25353192 Document Number: 667644
Acute oesophageal necrosis is a rarely seen phenomenon, occurring in situations with ischaemic insult in combination with gastric outlet obstruction or gastro-oesophageal reflux. The hallmark is circumferential necrosis of the oesophageal mucosa and it is associated with a high mortality. Two patients presented with haematemesis. They were admitted to hospital in a state of diabetic ketoacidosis. Endoscopy revealed acute oesophageal necrosis. They were stabilized and treated with high-dose proton pump inhibitors. Both patients recovered and were discharged without sequelae.