PMC6547274_01
Esophagogastroduodenoscopy revealed a black esophagus in the distal part of the esophagus, ending abruptly at the gastroesophageal junction.
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F1
A bedside upper endoscopy was performed to reveal a blackened esophagus, beginning at 25 cm and extending distally to end abruptly at the gastroesophageal junction (Fig. 1).
Esophageal biopsy showing a necrotic esophagus with inflammatory infiltrate. H&E. Original magnification, x100.
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F2
Biopsies showed necrotic debris without viral inclusion bodies or fungal hyphae (Fig. 2).
PMC6547274_02
Esophagogastroduodenoscopy showing diffuse and circumferential esophageal necrosis.
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F3
Upper endoscopy revealed AEN, starting at the mid esophagus with an abrupt cutoff at the gastroesophageal junction (Fig. 3).
PMC6547274_03
Esophagogastroduodenoscopy showing extensive esophageal necrosis with mucosal flaps involving the middle and distal thirds of the esophagus, raising the possibility of full-thickness esophageal necrosis.
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F4
The gastroenterology team was consulted due to hematemesis, and the patient was found to have extensive esophageal necrosis with mucosal flaps involving the middle and distal thirds of the esophagus, raising the possibility of full-thickness esophageal necrosis (Fig. 4).