Abstract
A case is described where accidental acid ingestion resulted in the development of oesophageal stricture and complete gastric outlet obstruction. Following a smoothly conducted pre-surgery endoscopic examination the patient developed acute pancreatitis, which, on initial clinical examination, was diagnosed as a viscus perforation. The severity of pancreatitis was such as to lead to disseminated intravascular coagulopathy and ultimately death. The interest lies in the fact that pancreatitis was precipitated in a previously traumatised stomach by such an innocuous procedure as fibre-optic endoscopy.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Anderson K. D., Rouse T. M., Randolph J. G. A controlled trial of corticosteroids in children with corrosive injury of the esophagus. N Engl J Med. 1990 Sep 6;323(10):637–640. doi: 10.1056/NEJM199009063231004. [DOI] [PubMed] [Google Scholar]
- Gündoğdu H. Z., Tanyel F. C., Büyükpamukçu N., Hiçsönmez A. Conservative treatment of caustic esophageal strictures in children. J Pediatr Surg. 1992 Jun;27(6):767–770. doi: 10.1016/s0022-3468(05)80113-7. [DOI] [PubMed] [Google Scholar]
- Latifi R., McIntosh J. K., Dudrick S. J. Nutritional management of acute and chronic pancreatitis. Surg Clin North Am. 1991 Jun;71(3):579–595. doi: 10.1016/s0039-6109(16)45435-6. [DOI] [PubMed] [Google Scholar]
- Murakawa M., Okamura T., Shibuya T., Harada M., Otsuka T., Niho Y. Use of a synthetic protease inhibitor for the treatment of L-asparaginase-induced acute pancreatitis complicated by disseminated intravascular coagulation. Ann Hematol. 1992 May;64(5):249–252. doi: 10.1007/BF01738305. [DOI] [PubMed] [Google Scholar]
- Ogawa M. [Coagulation abnormalities and DIC in severe acute pancreatitis]. Nihon Rinsho. 1990 Jan;48(1):140–147. [PubMed] [Google Scholar]
- Teng R. J., Tsau Y. K., Chang M. H., Lee C. Y., Chen C. L. An autopsy case of Reye's syndrome associated with acute pancreatitis, acute renal failure and disseminated intravascular coagulopathy. J Formos Med Assoc. 1990 Oct;89(10):887–891. [PubMed] [Google Scholar]
- Zargar S. A., Kochhar R., Mehta S., Mehta S. K. The role of fiberoptic endoscopy in the management of corrosive ingestion and modified endoscopic classification of burns. Gastrointest Endosc. 1991 Mar-Apr;37(2):165–169. doi: 10.1016/s0016-5107(91)70678-0. [DOI] [PubMed] [Google Scholar]
- Zargar S. A., Kochhar R., Nagi B., Mehta S., Mehta S. K. Ingestion of corrosive acids. Spectrum of injury to upper gastrointestinal tract and natural history. Gastroenterology. 1989 Sep;97(3):702–707. [PubMed] [Google Scholar]