Delayed sequelae of hydrochloric acid ingestion.

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dc.contributor.authorWilasrusmee, Cen_US
dc.contributor.authorSirikulchayanonta, Ven_US
dc.contributor.authorTirapanitch, Wen_US
dc.date.accessioned2009-05-27T18:24:48Z
dc.date.available2009-05-27T18:24:48Z
dc.date.issued1999-06-12en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractHydrochloric acid is the active ingredient in common toilet bowl cleaner agents used in Thailand but it is occasionally abused for suicidal attempts by ingestion. Clinicopathological description caused by this agent has rarely been mentioned in the literature. We reported three cases of gastric outlet obstruction. Two of these cases were initially treated in provincial hospitals by gastric lavages. No clinical symptoms relating to ingestion and swallowing were present in the early period after ingestion but patients developed vomitting and cachexia a few months later. Among these three cases, pylorus and antrum were the most common sites of injury. All cases were gastrectomized and pathological findings of the resected specimens showed mucosal ulceration, submucosal fibrosis, thickening of muscularis mucosae, and eosinophilic infiltrations. Most cases in the literature had preoperative jejunostomy preformed but our cases did not have such a preoperative procedure. The outcomes of all cases were considered good and no postoperative complication was found. This presentation is aimed to stimulate physicians to be aware of delayed complications of hydrochloric acid ingestion and long term follow-up is required even though the initial symptoms of the patients were minimal.en_US
dc.description.affiliationDepartment of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.en_US
dc.identifier.citationWilasrusmee C, Sirikulchayanonta V, Tirapanitch W. Delayed sequelae of hydrochloric acid ingestion. Journal of the Medical Association of Thailand. 1999 Jun; 82(6): 628-31en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/39095
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshFemaleen_US
dc.subject.meshGastric Outlet Obstruction --etiologyen_US
dc.subject.meshHumansen_US
dc.subject.meshHydrochloric Acid --poisoningen_US
dc.subject.meshMaleen_US
dc.subject.meshSuicide, Attempteden_US
dc.subject.meshTime Factorsen_US
dc.titleDelayed sequelae of hydrochloric acid ingestion.en_US
dc.typeCase Reportsen_US
dc.typeJournal Articleen_US
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