Article Text

Novel treatment (new drug/intervention; established drug/procedure in new situation)
Corrosive gastritis: an extreme outcome
  1. Sohail Ashraf1,
  2. Ahmad Saad Al-Malki1,
  3. Imran Ashraf2,
  4. Khalid Bzeizi1,
  5. Abdul Rahman Al-Robayan1
  1. 1
    Riyadh Military Hospital, Gastroenterology, B-87, PO BOX 7897, Riyadh, 11159, Saudi Arabia
  2. 2
    Riyadh Military Hospital, Neurosciences, PO BOX 7897, Riyadh, 11159, Saudi Arabia
  1. Sohail Ashraf, sohailashr{at}yahoo.com

Summary

Caustic substances, whether acid or alkali, cause a wide range of injuries to the digestive tract, from mild hyperaemia to extensive necrosis and perforation. We report the case of 40-year-old woman who presented 6 weeks after intentional ingestion of hydrochloric acid with abdominal pain and haematemesis. Gastroscopy showed a necrosed and ulcerated stomach with pyloric stricture. The third attempt at dilatation of the stricture caused perforation of the lesser curvature of the stomach requiring laparoscopic gastroduodenostomy. The approach to corrosive ingestion and its subsequent management is discussed.

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Footnotes

  • Competing interests: None.

  • Patient consent: Patient/guardian consent was obtained for publication.

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