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Caustic Gastroduodenal Injury
Atif Zaheer, MD; Michael P. Federle, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Corrosive gastroduodenitis
          • Definitions

            • Gastroduodenal inflammation/injury due to ingestion of acid, alkali, or other caustic agent

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Gross Pathologic & Surgical Features

                        CLINICAL ISSUES

                        • Presentation

                          • Natural History & Prognosis

                            • Treatment

                              DIAGNOSTIC CHECKLIST

                              • Consider

                                Selected References

                                1. Hollenbach M et al: Endoscopic findings and outcome in caustic ingestion of acidic and alkaline agents in adults: a retrospective analysis. Medicine (Baltimore). 98(35):e16729, 2019
                                2. Rasbach E et al: Successful treatment of gastric necrosis after ingestion of hydrochloric acid: a two-stage minimally invasive surgical procedure. BMJ Case Rep. 12(10), 2019
                                3. Chirica M et al: Caustic ingestion. Lancet. 389(10083):2041-52, 2017
                                4. Contini S et al: Caustic injury of the upper gastrointestinal tract: a comprehensive review. World J Gastroenterol. 19(25):3918-30, 2013
                                5. Lebeau R et al: Isolated gastric outlet obstruction due to corrosive ingestion. J Visc Surg. 148(1):59-63, 2011
                                6. Gupta V et al: Surgical management of gastric cicatrisation resulting from corrosive ingestion. Int J Surg. 7(3):257-61, 2009
                                7. Franke DD et al: Catastrophic gastrointestinal injury due to battery acid ingestion. J Emerg Med. 40(3):276-9, 2008
                                8. Rafeey M et al: Clinical characteristics and complications in oral caustic ingestion in children. Pak J Biol Sci. 11(19):2351-5, 2008
                                9. Muhletaler CA et al: Acid corrosive esophagitis: radiographic findings. AJR Am J Roentgenol. 134(6):1137-40, 1980
                                10. Franken EA Jr: Caustic damage of the gastrointestinal tract: roentgen features. Am J Roentgenol Radium Ther Nucl Med. 118(1):77-85, 1973
                                11. Martel W: Radiologic features of esophagogastritis secondary to extremely caustic agents. Radiology. 103(1):31-6, 1972
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                KEY FACTS

                                • Terminology

                                  • Imaging

                                    • Top Differential Diagnoses

                                      • Clinical Issues

                                        TERMINOLOGY

                                        • Synonyms

                                          • Corrosive gastroduodenitis
                                        • Definitions

                                          • Gastroduodenal inflammation/injury due to ingestion of acid, alkali, or other caustic agent

                                        IMAGING

                                        • General Features

                                          • Radiographic Findings

                                            • CT Findings

                                              • Imaging Recommendations

                                                DIFFERENTIAL DIAGNOSIS

                                                  PATHOLOGY

                                                  • General Features

                                                    • Gross Pathologic & Surgical Features

                                                      CLINICAL ISSUES

                                                      • Presentation

                                                        • Natural History & Prognosis

                                                          • Treatment

                                                            DIAGNOSTIC CHECKLIST

                                                            • Consider

                                                              Selected References

                                                              1. Hollenbach M et al: Endoscopic findings and outcome in caustic ingestion of acidic and alkaline agents in adults: a retrospective analysis. Medicine (Baltimore). 98(35):e16729, 2019
                                                              2. Rasbach E et al: Successful treatment of gastric necrosis after ingestion of hydrochloric acid: a two-stage minimally invasive surgical procedure. BMJ Case Rep. 12(10), 2019
                                                              3. Chirica M et al: Caustic ingestion. Lancet. 389(10083):2041-52, 2017
                                                              4. Contini S et al: Caustic injury of the upper gastrointestinal tract: a comprehensive review. World J Gastroenterol. 19(25):3918-30, 2013
                                                              5. Lebeau R et al: Isolated gastric outlet obstruction due to corrosive ingestion. J Visc Surg. 148(1):59-63, 2011
                                                              6. Gupta V et al: Surgical management of gastric cicatrisation resulting from corrosive ingestion. Int J Surg. 7(3):257-61, 2009
                                                              7. Franke DD et al: Catastrophic gastrointestinal injury due to battery acid ingestion. J Emerg Med. 40(3):276-9, 2008
                                                              8. Rafeey M et al: Clinical characteristics and complications in oral caustic ingestion in children. Pak J Biol Sci. 11(19):2351-5, 2008
                                                              9. Muhletaler CA et al: Acid corrosive esophagitis: radiographic findings. AJR Am J Roentgenol. 134(6):1137-40, 1980
                                                              10. Franken EA Jr: Caustic damage of the gastrointestinal tract: roentgen features. Am J Roentgenol Radium Ther Nucl Med. 118(1):77-85, 1973
                                                              11. Martel W: Radiologic features of esophagogastritis secondary to extremely caustic agents. Radiology. 103(1):31-6, 1972