ArticleInternational journal of legal medicine2005
Black oesophagus: a rare disorder with potentially fatal outcome. A forensic pathological approach based on five autopsy cases.
Article in International journal of legal medicine, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 38 citations in OpenAlex.
- Fatal black esophagus and duodenum.Forensic science, medicine, and pathology · 2026Article
- Black esophagus in forensic autopsies: impressive finding and cause of death?Forensic science, medicine, and pathology · 2026Article
- Acute esophageal necrosis in the post-operative period: a narrative review of presentation, management, and outcomes.Journal of thoracic disease · 2024Review
- Black esophagus: a syndrome of acute esophageal necrosis associated with active alcohol drinking.BMJ open gastroenterology · 2020Review
- Acute Esophageal Necrosis in an Alcoholic after Successful Resuscitation from Cardiac Arrest.Case reports in gastrointestinal medicine · 2017Article
- The unusual appearance of black esophagus in a case of fatal hypothermia: a possible underlying mechanism.Forensic science, medicine, and pathology · 2013Article
- Black esophagus.Forensic science, medicine, and pathology · 2011Article
- Survived ileocecal blowout from compressed air.International journal of legal medicine · 2011Article
- Ultrasound-accelerated formalin fixation improves the preservation of nucleic acids extraction in histological sections.International journal of legal medicine · 2009Article
- Pathology of fatal traumatic and nontraumatic clostridial gas gangrene: a histopathological, immunohistochemical, and ultrastructural study of six autopsy cases.International journal of legal medicine · 2008Article
- Esophageal infarction.Current treatment options in gastroenterology · 2007Article
- Black thyroid: report of an autopsy case.International journal of legal medicine · 2006Article
- Black esophagus: exploring the dark.Autopsy & case reportsArticle
- Acute Esophageal Necrosis: A View in the Dark.Case reports in gastroenterologyArticle
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Black oesophagus is a rare pathological condition of unknown aetiology characterised by a full length, circumferential black discolouration of the entire oesophageal mucosa. The disease is sporadically encountered during upper gastrointestinal endoscopy. We used conventional histology, enzyme histochemistry and immunohistology to examine five autopsy cases (four males, one female; age range 43-86 years) of black oesophagus. On microscopical examination, the esophageal mucosa was entirely necrotic with demarcation by a leukocytic infiltrate in the upper submucosa. This infiltrate was dominated by neutrophilic granulocytes and scattered macrophages lacking haemosiderin deposits, placing the noxious mucosal injury in a time frame of approximately 24-72 h prior to death. Black oesophagus was established as the immediate cause of death in one case due to desanguination from the oesophagus and significantly contributed to the fatal outcome in a second case. Apart from a history of chronic alcohol consumption in four cases, no other pre-existing pathological or debilitating conditions could be established. The remarkably consistent pathomorphological picture of the disease seems to be the result of impaired microcirculation of the oesophageal mucosa due to prolonged hypotension of variable aetiology. The diagnosis of black oesophagus requires exclusion of other causes such as ingestion of caustic materials and should be based on histological examination.
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