Management of Patient With Caustic Ingestion Injury: A Case Report

Abstract

The ingestion of caustic substances, both accidental and voluntary, determines a complex syndrome,
characterized by severe, often irreversible, visceral lesions, with still remarkable mortality in highly
compromised patients. Al36-year-old woman came to Emergency-Room with the chief complaints of
blackish vomiting about 4ltimes after drinking liquid to clean the bathroom floor. Patients with findings of
grade 2B esophageal injury, pangastritis and gastric ulcer on endoscopy have high the risk of perforation
and complications. Endoscopy done within 12lhours and no later than 24lhours following caustic ingestion
to classify mucosal injury subsequent to caustic ingestion is useful to determine the severity of injury,
particularly in suicidal cases, and thus helpful in predicting outcomes. Patient threat with rehydration with
normal saline, total parenteral nutrition, pump omeprazole, injection of methylprednisolone, antibiotic,
and sucralfate. Consultation with the Psychiatry department has been conducted psychoeducation and
psychotherapy.