Sati Wala O, Abdow Mohammad, Sabir Doaa M, Elhassan Hadeel, Salem Waleed
Emergency Department, Hamad Medical Corporation, Doha, QAT.
Emergency Medicine, Hamad Medical Corporation, Doha, QAT.
Cureus. 2024 Nov 29;16(11):e74719. doi: 10.7759/cureus.74719. eCollection 2024 Nov.
Ingestion of caustic substances is a common toxicological emergency, often resulting in significant morbidity and mortality. Accidental ingestion of these toxic agents is most prevalent among children, who may encounter household cleaners and other hazardous substances out of curiosity. In contrast, adults often ingest caustic agents in the context of self-harm or suicide attempts. These agents can cause extensive damage to the gastrointestinal tract, leading to serious complications, including perforation, strictures, and systemic toxicity. Both acids and alkalis are particularly dangerous, as they can create irreversible injuries depending on their concentration and duration of exposure. In this report, we detail the case of a middle-aged man who accidentally ingested a corrosive cleaner containing hydrochloric acid. One day post-ingestion, he presented with throat pain and odynophagia, raising immediate concern for possible gastrointestinal injury. An upper gastrointestinal endoscopy was performed, which revealed findings indicative of gastric necrosis, confirming the severity of the injury. Unfortunately, the patient lost follow-up after being discharged from the hospital. This case underscores the critical importance of recognizing the type of caustic substance involved in such emergencies and highlights the need for prompt medical intervention. Immediate identification of the ingested material, combined with rapid treatment, is essential to mitigate damage and improve patient outcomes.
摄入腐蚀性物质是一种常见的毒理学急症，常导致严重的发病率和死亡率。意外摄入这些有毒物质在儿童中最为普遍，他们可能出于好奇接触到家用清洁剂和其他有害物质。相比之下，成年人通常在自残或自杀企图时摄入腐蚀性物质。这些物质可对胃肠道造成广泛损害，导致严重并发症，包括穿孔、狭窄和全身毒性。酸和碱都特别危险，因为根据其浓度和接触时间，它们会造成不可逆转的损伤。在本报告中，我们详细介绍了一名中年男子意外摄入含盐酸的腐蚀性清洁剂的病例。摄入一天后，他出现咽痛和吞咽痛，这立即引起了对可能的胃肠道损伤的关注。进行了上消化道内镜检查，结果显示有胃坏死迹象，证实了损伤的严重程度。不幸的是，患者出院后失去了随访。该病例强调了识别此类急症中所涉及的腐蚀性物质类型的至关重要性，并突出了及时进行医疗干预的必要性。立即识别摄入的物质并迅速进行治疗，对于减轻损害和改善患者预后至关重要。
