Catastrophic gastrointestinal injury due to battery acid ingestion.
J Emerg Med
; 40(3): 276-9, 2011 Mar.
Article
em En
| MEDLINE
| ID: mdl-19111425
ABSTRACT
BACKGROUND:
Acids account for 20% of all chemical exposures through various routes. Caustic acids such as hydrochloric and sulfuric acid are common ingredients in many household and industrial products. Due to the corrosive properties of these substances, tissue injury caused by oral exposure can lead to severe esophageal and gastrointestinal burns. CASE REPORT We report a case of a patient presenting with severe acidosis, who required multiple laparoscopic evaluations to assess various gastrointestinal tract injuries and who ultimately underwent total gastrectomy. The diagnosis was made primarily based on the arterial blood gas and esophagogastroduodenoscopy findings, as well as the pathological examinations of various biopsied and resected tissues showing hemorrhagic necrosis of the esophagus, stomach, and small bowel. This patient eventually admitted to having ingested an unspecified amount of battery acid.CONCLUSIONS:
Collaborative efforts by Emergency Medicine, Pathology, and General Surgery services are required for timely diagnosis, treatment, and management of patients after caustic acid exposures.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Queimaduras Químicas
/
Cáusticos
/
Trato Gastrointestinal
/
Gastrectomia
/
Intestino Delgado
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Emerg Med
Assunto da revista:
MEDICINA DE EMERGENCIA
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Estados Unidos