TY - JOUR PY - 2024// TI - Man presenting after hydrochloric acid ingestion JO - Clinical practice and cases in emergency medicine A1 - Furlano, Emma R. A1 - Wu, Gregory P. A1 - Vosburgh, Brendan A1 - Waldman, Cameron R. A1 - Noonan, Jessica A1 - Bracey, Alexander SP - 77 EP - 79 VL - 8 IS - 1 N2 - 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

LA - en SN - 2474-252X UR - http://dx.doi.org/10.5811/cpcem.1436 ID - ref1 ER -