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Hyeon-Gyu Yi 1 Article
A Case of Serious Caustic Injury after Ingestion of Hydrochloric Acid
Hyun-Joo Park, Hyeon-Gyu Yi, Pum-Soo Kim, Hyung-Keun Roh
J Korean Soc Clin Toxicol. 2004;2(1):58-62.   Published online June 30, 2004
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Acid ingestion can cause not only caustic injury on esophagus and stomach but also fatal outcome through systemic complications. We report the case of a patient who died early after severe caustic injury with strong acid. A 38-year-old man who ingested about 400ml of hydrochloric acid of unknown concentration was transferred to our hospital from a private clinic, in which he was managed with gastric irrigation through a nasogastric tube. He was complaining dyspnea and abdominal pain. Physical examination demonstrated tenderness and rebound tenderness on epigastric region. Severe metabolic acidosis and leukocytosis were noted. Radiological findings suggested perforation of gastrointestinal tract, although the physical signs were not typical. Endoscopy revealed caustic injuries of grade I on esophagus and of grade Ⅲ on stomach, which indicate more severe injury on the stomach than on the esophagus. Exploratory surgery was recommended but unfortunately not permitted by his family. Despite intensive measures, his vital signs deteriorated rapidly and he died 50 hours after the ingestion.

JKSCT : Journal of The Korean Society of Clinical Toxicology