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Aluminium phosphide-induced esophageal stricture
Rupjyoti Talukdar1, Dinesh Kumar Singal, Rakesh Kumar Tandon
1Department of Gastroenterology, Pushpawati Singhania Research Institute for Liver, Renal and Digestive Diseases, Sheikh Sarai, Phase II, Press Enclave Marg, New Delhi, India. gastro_singal@rediffmail.com
Summary
Ingestion of aluminium phosphide tablets can cause esophageal strictures. Endoscopic dilatation effectively treated these strictures in two patients.
Area of Science:
- Gastroenterology
- Toxicology
Background:
- Aluminium phosphide (AlP) is a highly toxic compound commonly used as a rodenticide and pesticide.
- Accidental or intentional ingestion of AlP can lead to severe gastrointestinal complications, including esophageal injury.
Observation:
- Two patients, a 24-year-old woman and a 58-year-old man, presented with symptoms of esophageal obstruction.
- Esophageal strictures in the upper and mid portions of the esophagus were diagnosed two weeks post-ingestion of AlP tablets.
Findings:
- Both patients developed short-segment esophageal strictures following AlP ingestion.
- Successful treatment was achieved through endoscopic dilatation, restoring esophageal patency.
Implications:
- This case highlights a potential gastrointestinal complication of aluminium phosphide poisoning.
- Endoscopic dilatation represents a viable therapeutic option for managing AlP-induced esophageal strictures.