Citation

Furlano ER, Wu GP, Vosburgh B, Waldman CR, Noonan J, Bracey A. Clin. Pract. Cases Emerg. Med. 2024; 8(1): 77-79.

Copyright

(Copyright © 2024, Department of Emergency Medicine, University of California, Irvine)

DOI

10.5811/cpcem.1436

PMID

38546320

Abstract

CASE PRESENTATION: We describe a case of a man who developed severe caustic injury of his upper gastrointestinal tract after ingestion of a commercially available 9.5% hydrochloric acidic cleaning solution. He rapidly deteriorated and required endotracheal intubation. He underwent several imaging modalities demonstrating his injuries and ultimately succumbed to his injuries.

DISCUSSION: Acidic caustic ingestions may range in severity and uncommonly result in death. Diagnosis is most often achieved by esophagogastroduodenoscopy, although computed tomography may increasingly play a role in defining the extent of injury. Esophagogastroduodenoscopy findings are often assigned a Zargar grade, which guides management. Medical management of acidic caustic ingestion may include bowel rest, steroids, antibiotics, and proton pump inhibitors depending on the extent of injury, although surgery may be required if esophageal perforation occurs.

Language: en