Evidence map›Paper›PMID 41024918›Full record

ArticleCureus2025

Black Esophagus in a Critically Ill Patient With Septic Shock: A Case Report of a Rare Entity.

Yoseph M Habte, Binyam M Habte, Esimael M Abdu, Makida M Habte, Shimelis A Yimer

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Yoseph M HabteDepartment of Medicine, Ethio Tebib Hospital, Addis Ababa, ETH.
Binyam M HabteDepartment of Medicine, University of Gondar, Gondar, ETH.
Esimael M AbduDepartment of Surgery, Teklehaimanot General Hospital, Addis Ababa, ETH.
Makida M HabteDepartment of Medicine, Bethel Medical College, Addis Ababa, ETH.
Shimelis A YimerDepartment of Pathology, Ethio Tebib Hospital, Addis Ababa, ETH.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute esophageal necrosis (AEN), also known as "black esophagus," is a rare and severe form of esophageal injury characterized by circumferential black discoloration of the distal esophageal mucosa with a sharp demarcation at the gastroesophageal junction. It commonly presents in critically ill patients with upper gastrointestinal (GI) bleeding, hemodynamic instability, and multiple comorbidities. We present a case of a 65-year-old male with septic shock and multiorgan dysfunction, who was confirmed to have AEN and acute duodenitis on endoscopy and biopsy. The patient was managed conservatively with supportive care, including hemodynamic stabilization, proton pump inhibitors (PPIs), broad-spectrum antibiotics, total parenteral nutrition, and dialysis. Over time, his condition improved, and he was discharged in stable condition. This report emphasizes the need for clinicians to keep AEN in mind when encountering critically ill patients with hemodynamic instability to facilitate prompt diagnosis and effective treatment.

Indexed as

acute esophageal necrosisblack esophaguscase reportcritical illnessseptic shock

Identifiers

PMID41024918
PMCPMC12476827

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.