Case report
Acute management of caustic injury patient in low-resource settings

https://doi.org/10.1016/j.ijscr.2022.106871Get rights and content
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Highlights

  • Endoscopy is the main choice of handling caustic ingestion.

  • Do not place a nasogastric tube on the caustic ingestion before endoscopy.

  • Surgery is considered when x-ray results show damaged abdominal and chest.

Abstract

Background

Caustic ingestion causes high mortality and morbidity, so it is necessary to perform effective management for this case, especially in low-resource settings.

Case presentation

A 58-year-old male with caustic intoxication. The patient had acute complications in the form of hematemesis caused by gastric burns. The patient underwent immediate endoscopy and a Grade-IV Zargar gastric injury was noted. The patient was treated conservatively. He was given nutrition, proton pump inhibitors, antibiotics, and other supportive therapy during treatment.

Discussion

Insertion of a nasogastric tube in patients with caustic ingestion should be carried out after endoscopy or during endoscopy.

Conclusion

Endoscopy plays an important role in the acute management of caustic ingestion.

Keywords

Caustic injury
Ingestion
Zargar scale

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