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Case Reports in Gastrointestinal Medicine
Volume 2017, Article ID 4815752, 3 pages
Case Report

“Black Esophagus” or Gurvits Syndrome: A Rare Complication of Diabetic Ketoacidosis

Aventura Hospital & Medical Center, Aventura, FL, USA

Correspondence should be addressed to Vivek Choksi; moc.liamg@iskohckeviv

Received 29 November 2016; Revised 15 February 2017; Accepted 20 February 2017; Published 5 March 2017

Academic Editor: Yoshihiro Moriwaki

Copyright © 2017 Vivek Choksi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Acute esophageal necrosis (AEN) also known as “black esophagus” or necrotizing esophagitis is a rare syndrome characterized by a striking diffuse patchy or circumferential black appearance of the esophageal mucosa that preferentially affects the distal esophagus and terminates at the gastroesophageal junction. Only 88 patients over a span of 40 years have received this diagnosis, and the prevalence of this disease ranges from 0.001 to 0.2% of cases in literature. It more commonly affects men (4 : 1 ratio) in the sixth decade of life. It is associated with a high mortality rate, approaching 32%. We report a case of AEN presenting in the setting of diabetic ketoacidosis (DKA), affecting both the proximal and distal esophagus.