TY  - JOUR
PY  - 2016//
TI  - Successful conservative management of a case of caustic esophagitis based on computed tomography assessment
JO  - Acute medicine and surgery
A1  - Yonemaru, Hiroki
A1  - Karimata, Hiroyuki
A1  - Shimoji, Hideaki
A1  - Yamamoto, Kei
A1  - Hanashiro, Kazuhiko
A1  - Fukami, Masataka
A1  - Ouchi, Gen
A1  - Tamaki, Yuichiro
A1  - Kondo, Yutaka
A1  - Kukita, Ichiro
SP  - 147
EP  - 151
VL  - 3
IS  - 2
N2  - CASE: We describe the case of a female patient who ingested approximately 100 mL of toilet bowl cleaner containing 9.5% hydrochloric acid in a suicide attempt. Upon admission for hematemesis and epigastric pain, she was alert and oriented with stable vital signs. Initial contrast-enhanced computed tomography (CT) demonstrated edematous changes with no evidence of upper gastrointestinal tract perforation. Endoscopy was not performed owing to the high risk of perforation. We managed this patient conservatively. Repeat contrast-enhanced CT revealed mediastinal emphysema on day 2, which resolved by day 6. The patient was subsequently discharged with no apparent strictures of the upper gastrointestinal tract.  OUTCOME: Surgical interventions are frequently required following the ingestion of large amounts of highly concentrated hydrochloric acid; however, this patient was successfully managed conservatively.  CONCLUSION: Contrast-enhanced CT is useful in the assessment of the respiratory and digestive systems and the prediction of potential complications.<p /> <p>Language: en</p>
LA  - en
SN  - 2052-8817
UR  - http://dx.doi.org/10.1002/ams2.149
ID  - ref1
ER  -