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Liver necrosis following corrosive ingestion
Amit Javed1, Narola Yanger, A K Agarwal
1Department of Gastrointestinal Surgery, G B Pant Hospital and Maulana Azad Medical College, Delhi University, New Delhi, 110 002, India.
Summary
Corrosive ingestion caused rare liver lobe necrosis, alongside esophageal, stomach, spleen, and diaphragm injury. This case highlights uncommon solid organ damage from chemical burns.
Area of Science:
- Gastroenterology
- Hepatology
- Toxicology
Background:
- Corrosive ingestion can cause severe gastrointestinal tract damage.
- Solid organ injury is an uncommon complication of corrosive ingestion.
- Literature review reveals no prior reports of liver involvement.
Observation:
- A patient experienced ischemic necrosis of the entire left liver lobe (segments II, III, and IV).
- Full-thickness necrosis of the esophagus and stomach was observed.
- Infarction of the spleen and injury to the left hemidiaphragm were also noted.
Findings:
- Corrosive ingestion led to extensive ischemic necrosis of the left liver lobe.
- Solid organ damage, including spleen infarction, occurred secondary to corrosive ingestion.
- This represents the first reported case of liver necrosis following corrosive ingestion.
Implications:
- This case expands the understanding of potential complications from corrosive ingestion.
- Highlights the possibility of severe, multi-organ damage, including the liver.
- Suggests the need for heightened awareness and diagnostic vigilance for hepatic complications in such cases.
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