<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_jccm-2020-0017_s_005_w2aab3b7b6b1b6b1aab1c15b1Aa"><h3>Introduction</h3><p>The majority of oral ingestion of caustic material by adults is intentional, and the aftermath varies widely with potentially fatal results. Injuries range from superficial burns of facial and oropharyngeal structures to extensive necrosis of the gastrointestinal tract. Management focuses on the identification of the ingested substance and prompt treatment and supportive care of the multiple complications stemming from the ingestion. Complications following caustic ingestion include both immediate and long term.</p></sec><sec id="j_jccm-2020-0017_s_006_w2aab3b7b6b1b6b1aab1c15b2Aa"><h3>Case presentation</h3><p>A fifty-seven-year-old man presented following intentional ingestion of drain cleaner. The patient was intubated and underwent emergent esophagogastroduodenoscopy [EGD], which revealed extensive damage to his oesophagus and stomach. He survived his initial injury but had a prolonged hospital course and ultimately died after developing tracheoesophageal and bronchooesophageal fistulas which were too extensive for surgical repair.</p></sec><sec id="j_jccm-2020-0017_s_007_w2aab3b7b6b1b6b1aab1c15b3Aa"><h3>Conclusion</h3><p>The sequelae of caustic ingestion can be minor or severe, both immediate and delayed. Despite appropriate prompt management and supportive care, patients may die as a result of the initial injury or subsequent complications.</p></sec></abstract>

IntroductionThe majority of oral ingestion of caustic material by adults is intentional, and the aftermath varies widely with potentially fatal results. Injuries range from superficial burns of facial and oropharyngeal structures to extensive necrosis of the gastrointestinal tract. Management focuses on the identification of the ingested substance and prompt treatment and supportive care of the multiple complications stemming from the ingestion. Complications following caustic ingestion include both immediate and long term.Case presentationA fifty-seven-year-old man presented following intentional ingestion of drain cleaner. The patient was intubated and underwent emergent esophagogastroduodenoscopy [EGD], which revealed extensive damage to his oesophagus and stomach. He survived his initial injury but had a prolonged hospital course and ultimately died after developing tracheoesophageal and bronchooesophageal fistulas which were too extensive for surgical repair.ConclusionThe sequelae of caustic ingestion can be minor or severe, both immediate and delayed. Despite appropriate prompt management and supportive care, patients may die as a result of the initial injury or subsequent complications.

Catastrophic Caustic Ingestion: A Case Report

The Journal of Critical Care Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

{"article-title":"Catastrophic Caustic Ingestion: A Case Report"}

IntroductionThe majority of oral ingestion of caustic material by adults is intentional, and the aftermath varies widely with potentially fatal results....

Catastrophic Caustic Ingestion: A Case Report

Article Category: Case report

Published Online: May 06, 2020

Page range: 130 - 135

Received: Dec 28, 2019

Accepted: Apr 03, 2020

DOI: https://doi.org/10.2478/jccm-2020-0017

Keywords
caustic ingestion, toxic ingestion, caustic injuries, suicide

© 2020 Kerri L Bouchard, published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Catastrophic Caustic Ingestion: A Case Report

Article Category: Case report

Published Online: May 06, 2020

Page range: 130 - 135

Received: Dec 28, 2019

Accepted: Apr 03, 2020

DOI: https://doi.org/10.2478/jccm-2020-0017

Keywordscaustic ingestion, toxic ingestion, caustic injuries, suicide

© 2020 Kerri L Bouchard, published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Keywords
caustic ingestion, toxic ingestion, caustic injuries, suicide