Sachdev Atul, Gupta Monica, Attri Ashok Kumar
Department of Medicine, Government Medical College and Hospital Chandigarh, India.
Department of General Medicine, Government Medical College and Hospital Chandigarh, India.
Gastroenterology Res. 2010 Feb;3(1):50-51. doi: 10.4021/gr2010.02.173e. Epub 2010 Jan 20.
Corrosive ingestion can cause serious damage to the upper gastrointestinal tract. The acute consequences could range from mild erythema to gangrene and perforation. Delayed consequences could be strictures of the oesophagus presenting as dysphagia or gastric, pyloric and antral stenosis presenting as gastric outlet obstruction. Gastro-colic fistula as a complication of acid ingestion is a rare clinical entity. We report this case of a patient who presented with complaints of dysphagia and recurrent vomiting of foul smelling brownish vomitus two months following suicidal acid (sulphuric acid) ingestion. The presence of a gastro-colic fistula was confirmed with a barium meal examination.
腐蚀性物质摄入可对上消化道造成严重损害。急性后果可能从轻度红斑到坏疽和穿孔不等。延迟后果可能是食管狭窄表现为吞咽困难，或胃、幽门和胃窦狭窄表现为胃出口梗阻。作为酸摄入并发症的胃结肠瘘是一种罕见的临床病症。我们报告了这样一例患者，在自杀性摄入酸性物质（硫酸）两个月后，出现吞咽困难和反复呕吐有恶臭的褐色呕吐物的症状。通过钡餐检查确诊存在胃结肠瘘。
