抄録
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.
本文言語 | 英語 |
---|---|
ページ(範囲) | 1482-1486 |
ページ数 | 5 |
ジャーナル | GASTROENTEROLOGICAL ENDOSCOPY |
巻 | 59 |
号 | 7 |
出版ステータス | 出版済み - 7 2017 |
All Science Journal Classification (ASJC) codes
- Radiology Nuclear Medicine and imaging
- Gastroenterology