A Case of Gastric Outlet Obstruction with Corrosive Gastric Ulcer Caused by Hydrochloric Acid |
염산에 의한 부식성 위궤양에 합병된 완전 위출구 폐쇄 1례 |
김태진; 최바울; 한나; 이수경; 윤신의 |
|
|
Abstract |
The incidence of corrosive ingestion has been decreased; compared to past years. However;
suicide attempts by ingestion of corrosive agents are relatively common. Ingestion of hydrochloric
acid (HCl) can produce severe injury in the gastrointestinal tract and can even result in death.
Gastric outlet obstruction (GOO) is rare late sequelae of acid ingestion. We experienced a case of
26 year-old woman who ingested hydrochloric acid for suicidal attempt and as a result developed
postprandial abdominal fullness and persistent vomiting 3 weeks thereafter. The patient
underwent upper gastrointestinal series and endoscopy. The patient was found to have complete
pyloric obstruction with corrosive gastric ulcer. The patient was successfully treated by
laparoscopic assisted gastrojejunostomy. In this report; we present our experience with the
treatment of HCl-induced gastric outlet obstruction. |
Key Words:
Corrosive gastric ulcer, Gastric outlet obstruction (GOO),
Hydrochloric acid (HCl) |