Surgical management of a perforated 'black oesophagus'.

Acute esophageal necrosis with esophagus perforation treated by thoracoscopic subtotal esophagectomy and reconstructive surgery on a secondary esophageal stricture: a case report. As the oesophageal mucosa commonly takes less than a month to recover, a repeat endoscopy is recommended approximately 1 month after initial presentation.8,9 To our knowledge, with 26 days between the presentation of AON and perforation of the oesophagus, this is the first report on delayed oesophageal perforation in the setting of this disease. Black oesophagus, or AON, is a rare disease with an incidence of up to 0.28%.1,2 The condition is characterized by the endoscopic finding of black and friable oesophageal mucosa, which is typically located in the distal oesophagus and stops abruptly at the gastroesophageal junction. [Extracted from the article]