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Interstitial and tubal isthmic pregnancy with uterine rupture was diagnosed.Acute esophageal necrosis (AEN), or colloquially named "black esophagus," is an unusual clinical problem often involving ischemic injury to the esophagus secondary to splanchnic vasoconstriction during hypotensive symptoms. We present an instance of a 78-year-old guy with substantial heart disease who was initially admitted for gallstone pancreatitis and feasible cholangitis. Their hospital training