A CASE of UPSIDE-DOWN STOMACH ACCOMPANIED by ACUTE NECROTIZING ESOPHAGITIS

Takahiro Kai, Kazuoki Hizawa, Yutaro Ihara, Kouhei Fujita, Masahiro Iida, Ema Washio, Motohiro Esaki, Mitsuo Iida

Research output: Contribution to journalReview articlepeer-review

Abstract

An 83-year-old woman was taken to our hospital by ambulance because of hematemesis. Laboratory examination revealed high blood levels of lactate (35mg/dL), creatinine (2.1mg/dL) and glucose (249mg/dL). Thoracoabdominal CT scans showed a large esophageal hernia, presenting with upside-down stomach and mesenteroaxial volvulus. Urgent endoscopy revealed diffuse black mucosa in the middle and lower esophagus, so-called black esophagus. The abnormal rotation returned to normal by performing the stretching method with a duodenoscope. On the following day, the esophageal lesion was remarkably improved. When encountering a case of upside-down stomach with acute necrotizing esophagitis, endoscopic de-rotation should be immediately considered.

Original languageEnglish
Pages (from-to)1482-1486
Number of pages5
JournalGASTROENTEROLOGICAL ENDOSCOPY
Volume59
Issue number7
Publication statusPublished - Jul 2017

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

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