A Dark Turn in the Esophagus

A 63-year-old woman with diabetes presents with Hematemesis and melena. EGD reveals black lesions in the esophagus. Explore this rare cause of upper GI bleeding.

Acute esophageal necrosis


A 63-year-old woman with type 2 diabetes presented with a 2-day history of hematemesis and black stool. Esophagogastroduodenoscopy revealed longitudinal, black lesions in the lower esophagus. What is the diagnosis?

What is the most likely diagnosis?

Malignant melanoma
Esophageal acanthosis nigricans
Acute esophageal necrosis
Esophageal melanocytosis
Coal dust deposition

Acute esophageal necrosis, Esophagogastroduodenoscopy, Hematemesis, Melena, Upper GI Bleed

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