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CT Findings of Perforation of the Stomach after Ingestion of Glacial Acetic Acid

빙초산 음독 후 발생한 위천공: CT 소견을 중심으로

  • Kim, Hohyun (Department of Trauma Surgery and Acute Care Surgery, Pusan National University Hospital) ;
  • Yeom, Seok Ran (Department of Emergency Medicine, Pusan National University, School of Medicine) ;
  • Cho, Hyun Min (Department of Trauma Surgery and Acute Care Surgery, Pusan National University Hospital) ;
  • Yeo, Kwang-Hee (Department of Trauma Surgery and Acute Care Surgery, Pusan National University Hospital) ;
  • Kim, Jae-Hun (Department of Trauma Surgery and Acute Care Surgery, Pusan National University Hospital)
  • 김호현 (부산대학교병원 외상외과) ;
  • 염석란 (부산대학교 의학전문대학원 응급의학교실) ;
  • 조현민 (부산대학교병원 외상외과) ;
  • 여광희 (부산대학교병원 외상외과) ;
  • 김재훈 (부산대학교병원 외상외과)
  • Received : 2018.10.18
  • Accepted : 2018.10.30
  • Published : 2018.12.31

Abstract

The ingestion of corrosive substances often leads to severe morbidity and mortality. Acids produce coagulation necrosis with a lesser degree of penetration, whereas alkalis produce liquefactive necrosis with penetration. Acetic acid is a clear, colorless organic acid with a pungent, vinegar-like odor. The ingestion of highly concentrated acetic acid (glacial acetic acid) may cause a range of complications. On the other hand, perforation of the stomach is extremely rare but it has a high mortality rate. This paper reports a case of perforation of the stomach after the ingestion of glacial acetic acid with suicidal intent in an otherwise healthy 76-year-old woman.

Keywords

References

  1. Chibishev A, Simonovska N, Shikole A. Post-corrosive injuries of upper gastrointestinal tract. Prilozi 2010;31:297-316.
  2. Ratcliffe A, Baker A, Smith D. Successful management of 70% acetic acid ingestion on the intensive care unit: A case report. J Intensive Care Soc 2018;19:56-60. https://doi.org/10.1177/1751143717711062
  3. Kim SJ, Cho SB, Cho JM, Chung MJ, Paik SH, Kim SY, et al. CT imaging of gastric and hepatic complications after ingestion of glacial acetic acid. J Comput Assist Tomogr 2007;31:564-8. https://doi.org/10.1097/01.rct.0000284389.53202.f8
  4. Wijeratne T, Ratnatunga C, Dharrmapala A, Samarasinghe T. Corrosive acid injury of the stomach. Ceylon Med J 2015;60:25-7. https://doi.org/10.4038/cmj.v60i1.6939
  5. Brusin KM, Krayeva YV. Highly Concentrated Acetic Acid Poisoning: 400 Cases Reviewed. Asia Pac J Med Toxicol 2012;1:3-9.
  6. Vezakis AI, Pantiora EV, Kontis EA, Sakellariou V, Theodorou D, Gkiokas G et al. Clinical Spectrum and Management of Caustic Ingestion: A Case Series Presenting Three Opposing Outcomes. Am J Case Rep 2016;17:340-6. https://doi.org/10.12659/AJCR.897778
  7. Poley JW, Steyerberg EW, Kuipers EJ, Dees J, Hartmans R, Tilanus HW, et al. Ingestion of acid and alkaline agents: outcome and prognostic value of early upper endoscopy. Gastrointest Endosc 2004;60:372-7. https://doi.org/10.1016/S0016-5107(04)01722-5
  8. Bonavina L, Chirica M, Skrobic O, Kluger Y, Andreollo NA, Contini S, et al. Foregut caustic injuries: results of the world society of emergency surgery consensus conference. World J Emerg Surg 2015;10:44. https://doi.org/10.1186/s13017-015-0039-0