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Related Experiment Video

Updated: Feb 5, 2026

Microdissection of Black Widow Spider Silk-producing Glands
09:47

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Published on: January 11, 2011

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[A man with a black oesophagus].

G J Boersen1,2, Eric C T Geijteman1, Dave H Schweitzer1

  • 1Reinier de Graaf Gasthuis, afd. Inwendige Geneeskunde, Delft.

Nederlands Tijdschrift Voor Geneeskunde
|September 6, 2018
PubMed
Summary

An elderly man presented with severe upper gastrointestinal bleeding, confirmed by endoscopy showing esophageal necrosis. He tragically died from hypovolemic shock despite emergency treatment for this critical condition.

Area of Science:

  • Gastroenterology
  • Emergency Medicine
  • Pathology

Background:

  • Upper gastrointestinal bleeding is a common medical emergency.
  • Esophageal necrosis is a rare but severe condition with high mortality.
  • Prompt diagnosis and management are crucial for patient outcomes.

Observation:

  • An 85-year-old male presented with hematemesis (black fluid vomiting) and melena.
  • The patient was hemodynamically unstable, exhibiting hypotension and severe anemia.
  • Gastroscopy revealed extensive necrosis of the entire esophagus.

Findings:

  • The primary finding was complete esophageal necrosis.
  • The patient succumbed to hypovolemic shock within 24 hours of hospital admission.
  • This case highlights a fulminant presentation of upper gastrointestinal bleeding.

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Implications:

  • Esophageal necrosis represents a critical surgical emergency requiring immediate intervention.
  • Aggressive fluid resuscitation and blood product transfusion are vital in managing hypovolemic shock.
  • This case underscores the importance of early recognition and multidisciplinary care in severe upper GI bleeds.