Multidisciplinary Management of a Patient with acute Oesophageal Necrosis and Severe Neurological Symptoms with Full Recovery.

Background: Acute oesophageal necrosis is a rare and poorly understood disorder of the oesophagus. It poses significant diagnostic and therapeutic challenges as it often presents with multiple comorbidities and a poor prognosis. Case report: We report a case of 42-year-old male with no significant medical history, who presented to our clinic due to neurological deficits and repeated vomiting for 2 weeks. He initially denied alcohol abuse. Upper endoscopy demonstrated circular black discoloration of the distal oesophagus. The patient was treated with proton pump inhibitors and received treatment for his comorbidities. Esophagogastroduodenoscopy was performed to assess improvement. The patient's symptoms gradually resolved. Conclusion: This case is one of the few to show an association between alcohol abuse and acute oesophageal necrosis and underscores the importance of timely diagnosis and multidisciplinary treatment in patient with fully recovered condition. LEARNING POINTS: Acute oesophageal necrosis (AEN) is rare but serious condition often overlooked in patients with gastrointestinal symptoms, particularly younger patients and those with a history of alcohol abuse.This case illustrates how a single patient can have multiple acute conditions (AEN, pancreatitis, stomach and duodenal ulcers), necessitating a multidisciplinary approach to care.