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Updated: Feb 11, 2026
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Microdissection of Black Widow Spider Silk-producing Glands
Published on: January 11, 2011
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[A man with a black oesophagus]
G J Boersen1, E C T Geijteman, D H Schweitzer
1Reinier de Graaf Gasthuis, afd. Inwendige Geneeskunde, Delft.
Nederlands Tijdschrift Voor Geneeskunde
|April 21, 2018
Summary
An elderly male presented with severe upper gastrointestinal bleeding, evidenced by vomiting black fluid and melaena. Esophageal necrosis was diagnosed, leading to fatal hypovolemic shock despite emergency intervention.
Area of Science:
- Gastroenterology
- Internal Medicine
- Emergency Medicine
Background:
- Upper gastrointestinal bleeding is a common medical emergency.
- Esophageal pathology can present with severe bleeding and hemodynamic instability.
Observation:
- An 85-year-old male presented with hematemesis (black fluid) and melaena.
- The patient was hypotensive and severely anemic upon arrival.
Findings:
- Gastroscopy revealed extensive necrosis of the entire esophagus.
- The patient succumbed to hypovolemic shock within 24 hours of admission.
Implications:
- Esophageal necrosis is a critical condition with high mortality.
- Prompt diagnosis and management are crucial for upper GI bleeding patients.
- This case highlights the severity of esophageal necrosis and its rapid progression.
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