Two Rare Complications. Acute Esophageal Necrosis Followed by an Active Bleeding Dieulafoy Lesion

Acute esophageal necrosis and a Dieulafoy lesion are both recognized causes of upper gastrointestinal bleeding. Although exceedingly rare, prompt diagnosis and treatment are critical to prevent life-threatening complications. They both share similar risk factors which include but are not limited to advanced age, cardiovascular disease, chronic kidney disease, hypertension, and diabetes. We report a case of acute esophagus necrosis which possibly led to the development of an actively bleeding esophageal Dieulafoy lesion resulting in massive hemorrhage and cardiac arrest. To our best knowledge, this is the first known description of an actively bleeding Dieulafoy lesion occurring after the diagnosis of acute esophagus necrosis.