Catastrophic Gastrointestinal Injury Due to Battery Acid Ingestion
Abstract Background: Acids account for 20% of all chemical exposures through various routes. Caustic acids such as hydrochloric and sulfuric acid are common ingredients in many household and industrial products. Due to the corrosive properties of these substances, tissue injury caused by oral exposu...
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| Veröffentlicht in: | The Journal of emergency medicine 2011-03, Vol.40 (3), p.276-279 |
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| container_title | The Journal of emergency medicine |
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| creator | Franke, Deanna D.H., PHD Davis, Eric G., MD Woods, Dustin R., MD Johnson, Robin K., MD Miller, Frank B., MD Franklin, Glen A., MD Jortani, Saeed A., PHD |
| description | Abstract Background: Acids account for 20% of all chemical exposures through various routes. Caustic acids such as hydrochloric and sulfuric acid are common ingredients in many household and industrial products. Due to the corrosive properties of these substances, tissue injury caused by oral exposure can lead to severe esophageal and gastrointestinal burns. Case Report: We report a case of a patient presenting with severe acidosis, who required multiple laparoscopic evaluations to assess various gastrointestinal tract injuries and who ultimately underwent total gastrectomy. The diagnosis was made primarily based on the arterial blood gas and esophagogastroduodenoscopy findings, as well as the pathological examinations of various biopsied and resected tissues showing hemorrhagic necrosis of the esophagus, stomach, and small bowel. This patient eventually admitted to having ingested an unspecified amount of battery acid. Conclusions: Collaborative efforts by Emergency Medicine, Pathology, and General Surgery services are required for timely diagnosis, treatment, and management of patients after caustic acid exposures. |
| doi_str_mv | 10.1016/j.jemermed.2007.12.030 |
| format | Article |
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Caustic acids such as hydrochloric and sulfuric acid are common ingredients in many household and industrial products. Due to the corrosive properties of these substances, tissue injury caused by oral exposure can lead to severe esophageal and gastrointestinal burns. Case Report: We report a case of a patient presenting with severe acidosis, who required multiple laparoscopic evaluations to assess various gastrointestinal tract injuries and who ultimately underwent total gastrectomy. The diagnosis was made primarily based on the arterial blood gas and esophagogastroduodenoscopy findings, as well as the pathological examinations of various biopsied and resected tissues showing hemorrhagic necrosis of the esophagus, stomach, and small bowel. This patient eventually admitted to having ingested an unspecified amount of battery acid. Conclusions: Collaborative efforts by Emergency Medicine, Pathology, and General Surgery services are required for timely diagnosis, treatment, and management of patients after caustic acid exposures.</description><identifier>ISSN: 0736-4679</identifier><identifier>EISSN: 2352-5029</identifier><identifier>DOI: 10.1016/j.jemermed.2007.12.030</identifier><identifier>PMID: 19111425</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Abdominal Pain - diagnosis ; Abdominal Pain - etiology ; acidosis ; battery acid ; Burns, Chemical - etiology ; Burns, Chemical - pathology ; Burns, Chemical - surgery ; caustic ingestion ; Caustics - toxicity ; Critical Illness ; Emergency ; Emergency Service, Hospital ; Esophagoscopy - methods ; Follow-Up Studies ; gastrectomy ; Gastrectomy - methods ; Gastrointestinal Tract - injuries ; Gastrointestinal Tract - pathology ; Gastrointestinal Tract - surgery ; Gastroscopy - methods ; hemorrhagic necrosis ; Humans ; Intestine, Small - pathology ; Intestine, Small - surgery ; Laparotomy - methods ; Male ; Middle Aged ; Necrosis - chemically induced ; Necrosis - surgery ; Risk Assessment ; Suicide, Attempted ; Tomography, X-Ray Computed - methods ; Treatment Outcome</subject><ispartof>The Journal of emergency medicine, 2011-03, Vol.40 (3), p.276-279</ispartof><rights>Elsevier Inc.</rights><rights>2011 Elsevier Inc.</rights><rights>Copyright © 2011 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c422t-9089ac60ac7e453cddbec3a866aa4e83c3c53922c647858224c24a52749b68373</citedby><cites>FETCH-LOGICAL-c422t-9089ac60ac7e453cddbec3a866aa4e83c3c53922c647858224c24a52749b68373</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jemermed.2007.12.030$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19111425$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Franke, Deanna D.H., PHD</creatorcontrib><creatorcontrib>Davis, Eric G., MD</creatorcontrib><creatorcontrib>Woods, Dustin R., MD</creatorcontrib><creatorcontrib>Johnson, Robin K., MD</creatorcontrib><creatorcontrib>Miller, Frank B., MD</creatorcontrib><creatorcontrib>Franklin, Glen A., MD</creatorcontrib><creatorcontrib>Jortani, Saeed A., PHD</creatorcontrib><title>Catastrophic Gastrointestinal Injury Due to Battery Acid Ingestion</title><title>The Journal of emergency medicine</title><addtitle>J Emerg Med</addtitle><description>Abstract Background: Acids account for 20% of all chemical exposures through various routes. Caustic acids such as hydrochloric and sulfuric acid are common ingredients in many household and industrial products. Due to the corrosive properties of these substances, tissue injury caused by oral exposure can lead to severe esophageal and gastrointestinal burns. Case Report: We report a case of a patient presenting with severe acidosis, who required multiple laparoscopic evaluations to assess various gastrointestinal tract injuries and who ultimately underwent total gastrectomy. The diagnosis was made primarily based on the arterial blood gas and esophagogastroduodenoscopy findings, as well as the pathological examinations of various biopsied and resected tissues showing hemorrhagic necrosis of the esophagus, stomach, and small bowel. This patient eventually admitted to having ingested an unspecified amount of battery acid. Conclusions: Collaborative efforts by Emergency Medicine, Pathology, and General Surgery services are required for timely diagnosis, treatment, and management of patients after caustic acid exposures.</description><subject>Abdominal Pain - diagnosis</subject><subject>Abdominal Pain - etiology</subject><subject>acidosis</subject><subject>battery acid</subject><subject>Burns, Chemical - etiology</subject><subject>Burns, Chemical - pathology</subject><subject>Burns, Chemical - surgery</subject><subject>caustic ingestion</subject><subject>Caustics - toxicity</subject><subject>Critical Illness</subject><subject>Emergency</subject><subject>Emergency Service, Hospital</subject><subject>Esophagoscopy - methods</subject><subject>Follow-Up Studies</subject><subject>gastrectomy</subject><subject>Gastrectomy - methods</subject><subject>Gastrointestinal Tract - injuries</subject><subject>Gastrointestinal Tract - pathology</subject><subject>Gastrointestinal Tract - surgery</subject><subject>Gastroscopy - methods</subject><subject>hemorrhagic necrosis</subject><subject>Humans</subject><subject>Intestine, Small - pathology</subject><subject>Intestine, Small - surgery</subject><subject>Laparotomy - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Necrosis - chemically induced</subject><subject>Necrosis - surgery</subject><subject>Risk Assessment</subject><subject>Suicide, Attempted</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Treatment Outcome</subject><issn>0736-4679</issn><issn>2352-5029</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUFv1DAQhS1ERZfCX6hy6ynBHjuOc6naLtBWqsQBOFveyRScZpPFdpD239dhlx64cBqP5r158jeMnQteCS70h77qaUthS10FnDeVgIpL_oqtQNZQ1hza12zFG6lLpZv2lL2NsedcNNyIN-xUtEIIBfWK3axdcjGFaffTY3H75-nHRDH50Q3F_djPYV98nKlIU3HjUqLcXqPv8ujHoprGd-zk0Q2R3h_rGfv--dO39V358OX2fn39UKICSGXLTetQc4cNqVpi120IpTNaO6fISJRYyxYAtWpMbQAUgnI1NKrdaCMbecYuDnt3Yfo152y79RFpGNxI0xztYjK6biEr9UGJYYox0KPdBb91YW8Ftws-29u_-OyCzwqwGV82nh8j5s0ye7EdeWXB1UFA-aO_PQUb0dOI1PlAmGw3-f9nXP6zAgc_enTDE-0p9tMcMvlohY3ZYL8uR1xuyA3nIA3IZ-gMmGc</recordid><startdate>20110301</startdate><enddate>20110301</enddate><creator>Franke, Deanna D.H., PHD</creator><creator>Davis, Eric G., MD</creator><creator>Woods, Dustin R., MD</creator><creator>Johnson, Robin K., MD</creator><creator>Miller, Frank B., MD</creator><creator>Franklin, Glen A., MD</creator><creator>Jortani, Saeed A., PHD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110301</creationdate><title>Catastrophic Gastrointestinal Injury Due to Battery Acid Ingestion</title><author>Franke, Deanna D.H., PHD ; Davis, Eric G., MD ; Woods, Dustin R., MD ; Johnson, Robin K., MD ; Miller, Frank B., MD ; Franklin, Glen A., MD ; Jortani, Saeed A., PHD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c422t-9089ac60ac7e453cddbec3a866aa4e83c3c53922c647858224c24a52749b68373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Abdominal Pain - diagnosis</topic><topic>Abdominal Pain - etiology</topic><topic>acidosis</topic><topic>battery acid</topic><topic>Burns, Chemical - etiology</topic><topic>Burns, Chemical - pathology</topic><topic>Burns, Chemical - surgery</topic><topic>caustic ingestion</topic><topic>Caustics - toxicity</topic><topic>Critical Illness</topic><topic>Emergency</topic><topic>Emergency Service, Hospital</topic><topic>Esophagoscopy - methods</topic><topic>Follow-Up Studies</topic><topic>gastrectomy</topic><topic>Gastrectomy - methods</topic><topic>Gastrointestinal Tract - injuries</topic><topic>Gastrointestinal Tract - pathology</topic><topic>Gastrointestinal Tract - surgery</topic><topic>Gastroscopy - methods</topic><topic>hemorrhagic necrosis</topic><topic>Humans</topic><topic>Intestine, Small - pathology</topic><topic>Intestine, Small - surgery</topic><topic>Laparotomy - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Necrosis - chemically induced</topic><topic>Necrosis - surgery</topic><topic>Risk Assessment</topic><topic>Suicide, Attempted</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Franke, Deanna D.H., PHD</creatorcontrib><creatorcontrib>Davis, Eric G., MD</creatorcontrib><creatorcontrib>Woods, Dustin R., MD</creatorcontrib><creatorcontrib>Johnson, Robin K., MD</creatorcontrib><creatorcontrib>Miller, Frank B., MD</creatorcontrib><creatorcontrib>Franklin, Glen A., MD</creatorcontrib><creatorcontrib>Jortani, Saeed A., PHD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Franke, Deanna D.H., PHD</au><au>Davis, Eric G., MD</au><au>Woods, Dustin R., MD</au><au>Johnson, Robin K., MD</au><au>Miller, Frank B., MD</au><au>Franklin, Glen A., MD</au><au>Jortani, Saeed A., PHD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Catastrophic Gastrointestinal Injury Due to Battery Acid Ingestion</atitle><jtitle>The Journal of emergency medicine</jtitle><addtitle>J Emerg Med</addtitle><date>2011-03-01</date><risdate>2011</risdate><volume>40</volume><issue>3</issue><spage>276</spage><epage>279</epage><pages>276-279</pages><issn>0736-4679</issn><eissn>2352-5029</eissn><abstract>Abstract Background: Acids account for 20% of all chemical exposures through various routes. Caustic acids such as hydrochloric and sulfuric acid are common ingredients in many household and industrial products. Due to the corrosive properties of these substances, tissue injury caused by oral exposure can lead to severe esophageal and gastrointestinal burns. Case Report: We report a case of a patient presenting with severe acidosis, who required multiple laparoscopic evaluations to assess various gastrointestinal tract injuries and who ultimately underwent total gastrectomy. The diagnosis was made primarily based on the arterial blood gas and esophagogastroduodenoscopy findings, as well as the pathological examinations of various biopsied and resected tissues showing hemorrhagic necrosis of the esophagus, stomach, and small bowel. This patient eventually admitted to having ingested an unspecified amount of battery acid. 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| subjects | Abdominal Pain - diagnosis Abdominal Pain - etiology acidosis battery acid Burns, Chemical - etiology Burns, Chemical - pathology Burns, Chemical - surgery caustic ingestion Caustics - toxicity Critical Illness Emergency Emergency Service, Hospital Esophagoscopy - methods Follow-Up Studies gastrectomy Gastrectomy - methods Gastrointestinal Tract - injuries Gastrointestinal Tract - pathology Gastrointestinal Tract - surgery Gastroscopy - methods hemorrhagic necrosis Humans Intestine, Small - pathology Intestine, Small - surgery Laparotomy - methods Male Middle Aged Necrosis - chemically induced Necrosis - surgery Risk Assessment Suicide, Attempted Tomography, X-Ray Computed - methods Treatment Outcome |
| title | Catastrophic Gastrointestinal Injury Due to Battery Acid Ingestion |
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