GASTRIC OUTLET OBSTRUCTION BY CAUSTIC INGESTION: CASE REPORT OF AN EARLY DEFINITIVE SURGICAL APPROACH

  • João Luís Pinheiro Serviço de Cirurgia Geral, Centro Hospitalar Tondela - Viseu, Portugal http://orcid.org/0000-0002-1942-8512
  • José Pereira Pinto Serviço de Cirurgia Geral, Centro Hospitalar Tondela - Viseu, Portugal http://orcid.org/0000-0002-1868-360X
  • Marta Ferreira Serviço de Cirurgia Geral, Centro Hospitalar Tondela - Viseu, Portugal; Cirurgia Esofagogastroduodenal, Centro Hospitalar Tondela - Viseu, Portugal http://orcid.org/0000-0001-7161-4286
  • Luis Filipe Pinheiro Serviço de Cirurgia Geral, Centro Hospitalar Tondela - Viseu, Portugal; Cirurgia Esofagogastroduodenal, Centro Hospitalar Tondela - Viseu, Portugal http://orcid.org/0000-0002-8367-2798
  • Conceição Marques Serviço de Cirurgia Geral, Centro Hospitalar Tondela - Viseu, Portugal; Cirurgia Esofagogastroduodenal, Centro Hospitalar Tondela - Viseu, Portugal
  • Carlos Casimiro Serviço de Cirurgia Geral, Centro Hospitalar Tondela - Viseu, Portugal

Abstract

Introduction: Ingestion of caustic products present a challenge to many physicians, as it remains a rare occurrence in the emergency room.


Presentation of Case: A 58-year-old male was brought to the emergency department after ingesting hydrochloric acid. A pre-pyloric stenosis developed and endoscopic dilation was attempted with no success. The patient underwent an open subtotal gastrectomy after 4 weeks, with no complications and significant clinical improvement.


Discussion: Gastric outlet obstruction mainly occurs in the prepyloric area. A surgical approach is reported as a safe alternative after the acute inflammatory phase subsided, and can be safely executed 4 weeks after the caustic ingestion if needed. The type of resection should be tailored to the extent of the lesions.


Conclusion: Surgical resection poses a safe alternative, after the acute inflammatory phase has subsided and allows for adequate symptomatic control. Liquid agents affect mostly areas where pooling occurs, being the gastric antrum a frequent area where caustic lesions take place.

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Author Biography

Marta Ferreira, Serviço de Cirurgia Geral, Centro Hospitalar Tondela - Viseu, Portugal; Cirurgia Esofagogastroduodenal, Centro Hospitalar Tondela - Viseu, Portugal
 

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Published
2022-12-09
How to Cite
PINHEIRO, João Luís et al. GASTRIC OUTLET OBSTRUCTION BY CAUSTIC INGESTION: CASE REPORT OF AN EARLY DEFINITIVE SURGICAL APPROACH. Revista Portuguesa de Cirurgia, [S.l.], n. 53, p. 87-91, dec. 2022. ISSN 2183-1165. Available at: <https://revista.spcir.com/index.php/spcir/article/view/848>. Date accessed: 21 may 2024. doi: https://doi.org/10.34635/rpc.848.
Section
Clinical Case