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Corrosive gastritis: an extreme outcome
Sohail Ashraf1, Ahmad Saad Al-Malki, Imran Ashraf
1Riyadh Military Hospital, Gastroenterology, B-87, PO BOX 7897, Riyadh, 11159, Saudi Arabia.
BMJ Case Reports
|December 6, 2011
Summary
Intentional ingestion of hydrochloric acid (HCl) caused severe stomach injury and pyloric stricture. Management involved multiple dilatations, leading to perforation and requiring laparoscopic gastroduodenostomy.
Area of Science:
- Gastroenterology
- Toxicology
- Surgical Gastroenterology
Background:
- Corrosive ingestion, including acids and alkalis, can lead to severe gastrointestinal tract injuries.
- Such injuries range from superficial inflammation to life-threatening necrosis and perforation.
- Prompt recognition and management are crucial for patient outcomes.
Purpose of the Study:
- To present a case of delayed gastric complications following intentional hydrochloric acid ingestion.
- To discuss the diagnostic and therapeutic challenges in managing corrosive strictures of the stomach.
- To highlight the surgical interventions required for severe gastric injury secondary to acid ingestion.
Main Methods:
- Case report of a 40-year-old female with a history of intentional hydrochloric acid ingestion.
- Diagnostic procedures included gastroscopy to assess gastric injury and pyloric stricture.
- Therapeutic interventions involved endoscopic dilatation and subsequent laparoscopic surgery.
Main Results:
- The patient presented with abdominal pain and hematemesis six weeks post-ingestion.
- Gastroscopy revealed a necrotic, ulcerated stomach with a significant pyloric stricture.
- A third attempt at dilatation resulted in gastric perforation, necessitating laparoscopic gastroduodenostomy.
Conclusions:
- Intentional hydrochloric acid ingestion can result in delayed, severe gastric complications like strictures and perforation.
- Management of corrosive gastric injuries requires a multidisciplinary approach, often involving surgical intervention.
- Laparoscopic gastroduodenostomy can be a viable option for managing complex gastric perforations secondary to corrosive ingestion.
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