Acute Esophageal Necrosis Associated with Alcoholic Ketoacidosis A Case Report.

This article focuses on acute esophageal necrosis (AEN), a rare condition characterized by ischemic injury and black discoloration of the esophageal mucosa, typically diagnosed by esophagogastroduodenoscopy (EGD). AEN most commonly affects older men with multiple comorbidities and presents with upper gastrointestinal bleeding and symptoms such as abdominal pain and vomiting. The report describes a unique case of a 28-year-old man with borderline personality disorder who developed AEN associated with alcoholic ketoacidosis (AKA) after excessive alcohol intake and starvation, marking only the second documented case linking AEN with AKA. Treatment involved supportive care including fluid resuscitation, proton pump inhibitors, and antibiotics, resulting in rapid recovery without complications. The article highlights the multifactorial etiology of AEN and its association with hemodynamic compromise, while noting that prognosis largely depends on underlying comorbidities.