التفاصيل البيبلوغرافية
| العنوان: |
Black oesophagus, upside-down stomach and cameron lesions: cascade effects of a large hiatal hernia |
| المؤلفون: |
Deliwala, Smit Sunil, Hussain, Murtaza S, Ponnapalli, Anoosha, Bachuwa, Ghassan, Gurvits, Grigoriy E |
| المصدر: |
BMJ Case Reports ; volume 14, issue 11, page e246496 ; ISSN 1757-790X |
| بيانات النشر: |
BMJ |
| سنة النشر: |
2021 |
| مصطلحات موضوعية: |
General Medicine |
| الوصف: |
Acute oesophageal necrosis, black oesophagus (BE) or Gurvits syndrome (GS) is a rare form of severe oesophagitis appearing as a striking circumferential discolouration of distal mucosa with various proximal extensions abruptly terminating at the gastro-oesophageal junction. It is most commonly associated with acute exacerbations of medical comorbidities, while associations with altered gut anatomy are rare. We present a unique constellation of BE, Cameron ulcers (CU), and gastric volvulus from a large paraesophageal hiatal hernia. Our patient recently recovered from COVID-19 and was malnourished and frail, while the expanding paraesophageal hiatal hernia turned into an acute organoaxial gastric volvulus with accompanying outlet obstruction. In low-flow post-COVID coagulopathic states, compensatory mechanisms may lack against gastric stunning and sudden massive reflux on the oesophagus. We additionally performed a systematic review and discovered additional cases with coexistent volvulus and paraesophageal hernia, although there are no previous reports of BE with CU, which makes this study the first. |
| نوع الوثيقة: |
article in journal/newspaper |
| اللغة: |
English |
| DOI: |
10.1136/bcr-2021-246496 |
| الإتاحة: |
https://doi.org/10.1136/bcr-2021-246496Test |
| رقم الانضمام: |
edsbas.3B7CB253 |
| قاعدة البيانات: |
BASE |
