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Surgical management of catastrophic caustic ingestion in acute phase: A case report and review of the literature.
Bozorgmehr, Ramin; Sadeghi, Ahmadreza; Bagheri Chokami, Mohammad Sajad; Pourhooshmandi, Mohammad; Zebarjadi Bagherpour, Javad; Iravani, Zahra.
Afiliación
  • Bozorgmehr R; Department of General Surgery, Madani Hospital, Alborz University of Medical Sciences, Karaj, Iran.
  • Sadeghi A; Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran. Electronic address: ahmadrezasadeghiars@gmail.com.
  • Bagheri Chokami MS; Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran.
  • Pourhooshmandi M; Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran.
  • Zebarjadi Bagherpour J; Department of General Surgery, Madani Hospital, Alborz University of Medical Sciences, Karaj, Iran.
  • Iravani Z; Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran.
Int J Surg Case Rep ; 122: 110188, 2024 Sep.
Article en En | MEDLINE | ID: mdl-39159593
ABSTRACT

INTRODUCTION:

Caustic ingestion almost occurs accidentally in children and mostly intentionally in adults. The ingestion of caustic substances can cause various degrees of damage to the gastrointestinal tract. Depending on the severity of the injury, surgery may be a part of the treatment plan. PRESENTATION OF CASE A 32-year-old man was referred to our hospital after swallowing drain cleaner. Due to evidence of peritonitis and endoscopy results, he underwent emergency surgery. During the surgery, necrotic parts, including the esophagus, stomach, duodenum, head of the pancreas, and initial part of the jejunum, were resected. Then, after six months, colon interposition surgery was done to reconstruct the gastrointestinal tract.

DISCUSSION:

Like trauma patients, managing patients with caustic injuries begins with an initial survey of the airway, breathing, and circulation status. In the first 48 h, early esophagoscopy is indicated to evaluate the amount of injury. Evidence of transmural necrosis or perforation is the most important indication for surgery, and surgical procedures are specific to each patient. Esophagogastrectomy is the most common surgery in cases of severe gastrointestinal injuries, but removing more abdominal organs may be needed in fewer cases.

CONCLUSION:

This case report underscores the urgent need for further research and the development of evidence-based guidelines in managing caustic injury with extensive necrosis in the gastrointestinal tract. Our experience with this rare case highlights the importance of such guidelines in improving patient outcomes.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Int J Surg Case Rep Año: 2024 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Int J Surg Case Rep Año: 2024 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Países Bajos