A Case of Abdominal Compartment Syndrome and Necrosis of Entire Small Intestine Caused by Ingested Potassium Carbonate

茂正, 田口; 敬樹, 清水; 龍, 横手; 昌士, 五木田; 勝伸, 勅使河原; 肇, 関井; 和也, 清田

doi:10.3893/jjaam.18.188

Cited by 1 publication

(1 citation statement)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, there have been few reports on lower digestive tract injuries from alkaline ingestion. Taguchi et al 6 reported a case of ingestion of a large amount of a strong alkaline development solution comprising mainly potassium carbonate. Gastric perforation and necrosis of all gastrointestinal layers progressed over time, leading to total intestinal necrosis and death.…”

Section: Discussionmentioning

confidence: 99%

A case of intestinal obstruction due to inflammatory changes in the small intestine from alkaline ingestion

Maruhashi

Hanajima

Nakatani

et al. 2018

Acute Medicine & Surgery

View full text Add to dashboard Cite

CaseAlkaline ingestion frequently causes corrosive esophagitis but rarely causes lower digestive tract injury. In this case, a 79‐year‐old man accidentally drank kitchen detergent. After 3 h, lower abdominal pain occurred and gradually worsened. He was taking a proton pump inhibitor after proximal gastrectomy for gastric cancer. He had local tenderness in the left lower abdomen. Abdominal computed tomography showed expansion of the small intestine, thickening of the intestinal wall, and inflammatory changes. Upper gastrointestinal endoscopy showed no obvious injury to the esophagus or stomach.OutcomeConservative treatment with an ileus tube was undertaken for intestinal obstruction caused by alkaline ingestion. There were no complications, such as gastrointestinal perforation, and he was discharged on day 17.ConclusionAlkaline ingestion may cause injuries not only to the upper but also to the lower digestive tract in patients who are taking proton pump inhibitors or have had gastrectomy.

show abstract

Section: Discussionmentioning

confidence: 99%