An unusual presentation of hydrochloric acid ingestion: a mystery unraveled.

Abstract:

BACKGROUND:Unintentional acid ingestion is less commonly encountered than alkali ingestion. The injury develops for hours to days after ingestion and often results in progressively increasing difficulty in airway management. However, gastric perforation is rare. CASE:A 3-year-old boy presented to us with an orotonsillopharyngeal membrane and severe upper airway obstruction. Subsequently, he was diagnosed with a case of gastric perforation due to unintentional hydrochloric acid ingestion. He was treated with partial gastrectomy and feeding jejunostomy, and the recovery was good. CONCLUSIONS:Unintentional hydrochloric acid ingestion is rare in children. The manifestations masquerade many other clinical conditions, and the diagnosis is difficult in cases in which history of ingestion is not available. Treatment is symptomatic, and emergency surgery is indicated in case of gastrointestinal perforation.

journal_name

Pediatr Emerg Care

journal_title

Pediatric emergency care

authors

Ganapathy VP,Das RR,Chinnakkannan S,Panda SS

doi

10.1097/PEC.0000000000000382

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

207-8

issue

3

eissn

0749-5161

issn

1535-1815

pii

00006565-201503000-00011

journal_volume

31

pub_type

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