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BibTex format

@article{Garas:2011:10.1136/bcr.10.2010.3423,
author = {Garas, G and Wou, C and Sawyer, J and Amygdalos, I and Gould, S},
doi = {10.1136/bcr.10.2010.3423},
journal = {BMJ Case Rep},
title = {Acute oesophageal necrosis syndrome.},
url = {http://dx.doi.org/10.1136/bcr.10.2010.3423},
volume = {2011},
year = {2011}
}

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TY  - JOUR
AB  - An 89-year-old woman with a known hiatus hernia presented to the accident and emergency department with acute onset epigastric pain. CT of the thorax and abdomen revealed a large hiatus hernia with mesentero-axial volvulus but no evidence of strangulation. A large aneurysmal aortic arch and descending aorta were visible with associated mural thrombus. As the pain was worsening, following discussion with the patient, the decision to operate was taken. The hiatus hernia was successfully reduced and the stomach looked healthy. The oesophagus, however, appeared black almost throughout its entire length consistent with acute oesophageal necrosis syndrome, a rare and lethal disease. Left lateral thoracotomy followed by cervicotomy was performed to retrieve a healthy oesophageal segment, which was anastomosed to the cardiac end of the stomach. Despite treatment in the intensive care unit, the patient's condition progressively deteriorated and she died of multiorgan failure 12 days later.
AU  - Garas,G
AU  - Wou,C
AU  - Sawyer,J
AU  - Amygdalos,I
AU  - Gould,S
DO  - 10.1136/bcr.10.2010.3423
PY  - 2011///
TI  - Acute oesophageal necrosis syndrome.
T2  - BMJ Case Rep
UR  - http://dx.doi.org/10.1136/bcr.10.2010.3423
UR  - https://www.ncbi.nlm.nih.gov/pubmed/22715255
VL  - 2011
ER  -

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Dr George Garas BSc (Hons) MBBS (Dist) PhD DIC FRCS (ORL-HNS) FEBORL-HNS (Gold Medal)

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