Document Detail


Catastrophic gastrointestinal injury due to battery Acid ingestion.
MedLine Citation:
PMID:  19111425     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
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.
Authors:
Deanna D H Franke; Eric G Davis; Dustin R Woods; Robin K Johnson; Frank B Miller; Glen A Franklin; Saeed A Jortani
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Publication Detail:
Type:  Journal Article     Date:  2008-12-25
Journal Detail:
Title:  The Journal of emergency medicine     Volume:  40     ISSN:  0736-4679     ISO Abbreviation:  J Emerg Med     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-03-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8412174     Medline TA:  J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  276-9     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
Affiliation:
Forensic Toxicology Program, University of Louisville School of Medicine, Louisville, Kentucky; Department of Pathology and Laboratory Medicine, University of Louisville School of Medicine, Louisville, Kentucky.
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