DOI: https://doi.org/10.36347/sjmcr.2026.v14i05.108

Pages: 1323-1325

Acute esophageal necrosis, also known as “black esophagus,” is a rare condition characterized by diffuse necrosis of the esophageal mucosa, predominantly affecting the distal esophagus. It most commonly occurs in patients with severe comorbidities. We report the case of a 57-year-old patient with no significant medical history, admitted for moderate hematemesis. Clinical examination revealed a hemodynamically stable patient. Laboratory findings showed normochromic normocytic anemia with a hemoglobin level of 7 g/dL and an elevated urea-to-creatinine ratio. Upper gastrointestinal endoscopy demonstrated a typical black esophagus involving the distal two-thirds of the esophagus. Additional investigations, including viral serologies and esophageal biopsies, did not reveal any specific infectious etiology. The patient was managed conservatively, with a favorable outcome and significant endoscopic improvement at 8 weeks.