TY - JOUR PY - 2020// TI - Catastrophic Caustic Ingestion: A Case Report JO - Journal of critical care medicine (Universitatea de Medicină și Farmacie din Târgu-Mureș) A1 - Bouchard, K.L. SP - 130 EP - 135 VL - 6 IS - 2 N2 - INTRODUCTION: The majority of oral ingestion of caustic material by adults is intentional, and the aftermath varies widely with potentially fatal results. Injuries range from superficial burns of facial and oropharyngeal structures to extensive necrosis of the gastrointestinal tract. Management focuses on the identification of the ingested substance and prompt treatment and supportive care of the multiple complications stemming from the ingestion. Complications following caustic ingestion include both immediate and long term. Case presentation: A fifty-seven-year-old man presented following intentional ingestion of drain cleaner. The patient was intubated and underwent emergent esophagogastroduodenoscopy [EGD], which revealed extensive damage to his oesophagus and stomach. He survived his initial injury but had a prolonged hospital course and ultimately died after developing tracheoesophageal and bronchooesophageal fistulas which were too extensive for surgical repair.

CONCLUSION: The sequelae of caustic ingestion can be minor or severe, both immediate and delayed. Despite appropriate prompt management and supportive care, patients may die as a result of the initial injury or subsequent complications. © 2020 Kerri L Bouchard, published by Sciendo.

Language: en

LA - en SN - 2393-1809 UR - http://dx.doi.org/10.2478/jccm-2020-0017 ID - ref1 ER -