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Case Reports in Medicine
Volume 2017 (2017), Article ID 8362613, 3 pages
Case Report

Forsaken Foregut: Case Report of Simultaneous Black Esophagus and Ischemic Cholangiopathy

1Dalhousie University, Queen Elizabeth II Health Sciences Centre, Halifax, NS, Canada B3H 2Y9
2Dalhousie University, 1276 South Park Street, Rm 483 Bethune Building, Halifax, NS, Canada B3H 2Y9

Correspondence should be addressed to Paul A. Cameron

Received 20 February 2017; Accepted 11 April 2017; Published 24 April 2017

Academic Editor: Bruno Megarbane

Copyright © 2017 Paul A. Cameron and Franzjosef Schweiger. 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.


Black esophagus or acute esophageal necrosis rarely occurs after severe hemodynamic compromise or low-flow states. Other contributing factors may include corrosive injury from gastric contents and diminished mucosal repair mechanisms. Ischemic cholangitis, another rare clinical entity, is also usually the result of a significant vascular and/or hypotensive insult to the biliary tree. We describe the first case of combined acute esophageal necrosis and ischemic cholangiopathy in a 62-year-old male who completely recovered from the esophageal injury but developed progressive liver failure from ischemic cholangiopathy.