Abstract

Acute esophageal necrosis (AEN), also called Gurvits syndrome, is a condition which is characterized by circumferential necrosis of the oesophagus with clear demarcation at the gastroesophageal junction. It is a rare cause of upper gastrointestinal bleeding. Characteristic endoscopic findings are sufficient to confirm the diagnosis in most cases. The management of AEN is mainly directed at correcting coexisting clinical conditions, restoring haemodynamic stability, nil-per-os restriction and intravenous acid suppression with proton pump inhibitors. Complications include perforation and strictures, which may need surgical intervention.
Here we present a case with distinct clinical presentation and discuss the endoscopic findings and management of the patient.