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Case Reports
. 2021 Feb 19;2021(2):rjab027.
doi: 10.1093/jscr/rjab027. eCollection 2021 Feb.

Suicidal acid ingestion leading to gastric outlet obstruction treated by early definitive surgery-case report

Mutlaq Almalki  1 , Waed Yaseen  1 , Shatha Althobaiti  1
Affiliations
Case Reports

Suicidal acid ingestion leading to gastric outlet obstruction treated by early definitive surgery-case report

Mutlaq Almalki et al. J Surg Case Rep. .

Abstract

Chemical ingestions can cause acute injury to the oesophagus, stomach, pylorus, duodenum and sometimes other organs after ingestion of corrosives, but it may be as late as 1 year after ingestion. A 30-year-old male patient presented to the emergency department with sudden epigastric abdominal pain after flash material ingestion. Computed tomography of abdomen showed signs of small bowel obstruction associated with segmental small bowel ischaemic changes. Postoperatively, patient developed an intolerance to oral intake with upper gastrointestinal scope showing sever stricture at the distal gastric lumen and pylorus. The patient was taken to the operation where gastrojejunostomy and brown procedure was done. Corrosive gastric injury treatment depends on the degree of gastric involvement, related oesophageal strictures and the patient's general health. Early surgery offers very satisfactory and physiological results, whereas avoiding gastric resection or bypass provides very satisfactory and physiological outcomes.

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Figures

Figure 1
Figure 1
(A and B). CT showing segmental dilatation of the small bowel with diffuse circumferential wall thickening and suspected tow areas of transnational zones.
Figure 2
Figure 2
Ischaemic patches at the fourth and proximal 70 cm of jejunum.
See this image and copyright information in PMC

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