scholarly journals Isolated jejunal necrosis following corrosive acid poisoning

2021 ◽  
Vol 8 (11) ◽  
pp. 3457
Author(s):  
Naveen Kumar Gaur ◽  
Oseen Hajilal Shaikh ◽  
Chellappa Vijaykumar ◽  
Uday Shamrao Kumbhar

Corrosive acid poisoning is common in Asian countries, and most of the time, it is of suicidal intent in adults. Commonly they lead to extensive injuries of the upper gastrointestinal tract, and isolated involvement of the lower gastrointestinal tract is rare. We present a 35-year-old male who presented to us with a history of corrosive acid ingestion mixed with alcohol. Imaging did not demonstrate any pneumoperitoneum. The patient underwent exploratory laparotomy and found to have isolated jejunal necrosis without any evidence of injury to the stomach and duodenum. Segmental resection and end-to-end anastomosis were done.  

2021 ◽  
Vol 8 (10) ◽  
pp. 3199
Author(s):  
Oseen Shaikh ◽  
Naveen K. Gaur ◽  
Chellappa Vijaykumar ◽  
Uday S. Kumbhar

Corrosive poisoning is common in South East Asian countries than in the West. It can be accidental or suicidal and can cause gastrointestinal tract injuries. The grade of injuries depends on several factors related to the patient and the substance causing injury. Dilemmas arise at different management levels, whether to resort to a radical surgical approach or consider more conservative approaches. We present a case of suicidal corrosive acid injury in a 23-year-old male with extensive upper gastrointestinal tract injury managed surgically. Ampullojejunostomy may be a feasible option in patients with stomach and duodenal necrosis following corrosive acid poisoning if ampulla is normal. However, its role in the emergency setting may be questionable.


2019 ◽  
Vol 13 (1) ◽  
Author(s):  
M. A. Rehman Siddiqui ◽  
Syed Zohaib Maroof Hussain ◽  
Muhammed Mubarak

Abstract Background We report a case of a patient with iris metastasis as the initial manifestation of a systemic cancer: upper gastrointestinal tract carcinoma. Case presentation A 24-year-old Asian man presented to our hospital with complaints of red left eye, decreased visual acuity, pain, and photophobia for about 3 weeks with no prior history of cancer or any other medical abnormality. Ocular examination showed a pinkish white lesion on the superonasal part of the iris. The patient’s intraocular pressure was progressively increasing despite medications, followed by lymphadenopathy 4 weeks later. Comprehensive examination was performed along with a complete systemic workup, which detected systemic malignancy. Histopathology and immunohistochemistry revealed signet ring cells, which indicated an upper gastrointestinal tract tumor as a primary source of iris metastasis. The systemic condition of the patient deteriorated rapidly thereafter and led to his death in the 12th week of the disease. Conclusion A red eye with iris lesions in otherwise healthy individuals should be considered as a possible initial manifestation of underlying systemic malignancy. Prompt referral of such patients to an oncologist is warranted.


Author(s):  
Dhafer Hadded ◽  
Alia Zouaghi ◽  
MERYAM MESBAHI ◽  
Yazid Benzarti ◽  
Nawel Bellil ◽  
...  

Tuberculosis of the upper gastrointestinal tract is a rare pathology. Stomach tuberculosis, particularly, can appear as a subepithelial gastric tumor. We describe a case of a Patient with tuberculous intraperitoneal lymphadenitis mimicking the submucosal gastric tumor. An exploratory laparotomy was performed, and the diagnosis was confirmed by frozen section examination.


Author(s):  
Vijant Singh Chandial ◽  
Richu Sharma ◽  
Vinu Jamwal ◽  
Suman Kumar Kotwal

Background: Foreign body (FB) ingestion is a common clinical problem seen in medical practice. Its size can range from a pin head size to coin size. The aim of this study is to report the outcome of patients coming with FBs in their gastro intestinal tracts (GIT) using upper GI endoscopy (UGIE).Methods: The records of all the patients who presented to the department of gastroenterology and who underwent UGIE between May 2015 to May 2017 were reviewed with details on age, sex, type of FBs and its anatomical location and outcome.Results: A total of 31 patients with history of FB ingestion, were subjected to UGIE, over a period of 2 years. The patients were in the age group of 3 years to 100 years. The mean age was 51.27±20.63 years, with males constituting 74.19% of the patients. Most patients were in the age group of 41-60 years (41.9%) followed by 21-40 years age group (22.58%). The majority of FBs found were pieces of bone (n=9) and meat bolus (n=7), making 29.03% and 22.58% respectively. The other FBs included food bolus, coins, dentures, fruit seeds and round worm impaction.Conclusions: It is recommended that all those patients with a history of FB ingestion should be evaluated and if it is located in the upper gastrointestinal tract, should be subjected to UGIE for endoscopic removal.


1957 ◽  
Vol 32 (6) ◽  
pp. 1013-1024 ◽  
Author(s):  
E. Clinton Texter ◽  
Hubbard W. Smith ◽  
Hugo C. Moeller ◽  
Clifford J. Barborka

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