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This article in Clinical Endoscopy explores the rare and life-threatening condition known as acute necrotizing esophagitis (AEN), or black esophagus. The cause of AEN is still unknown, but it is believed to involve ischemia. The article presents a case study of an 88-year-old woman who developed AEN after undergoing endoscopic retrograde cholangiopancreatography (ERCP). It discusses the challenges in managing AEN and the potential complications, such as esophageal perforation. The article emphasizes the importance of careful monitoring and appropriate medical management for patients with AEN. It also provides information on the symptoms, diagnosis, and treatment of this condition, along with a review of existing literature. This resource would be valuable for library patrons researching esophageal diseases and seeking a comprehensive understanding of acute esophageal necrosis. [Extracted from the article]