Caustic burn caused by intradermal self administration of muriatic acid for suicidal attempt: optimal wound healing and functional recovery with a non surgical treatment

Fino, Pasquale; Spagnoli, Anna Maria; Ruggieri, M; Onesti, Maria Giuseppina

doi:10.11138/gchir/2015.36.5.214

Cited by 3 publications

(6 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Two similar cases related to the intradermal injection of hypochlorite acid have been reported in the literature [2] , [3] . In 1996, the first case of hypochlorite acid injection in the antecubital fossa was reported, which resulted in a 5 × 7 cm ulcer managed by surgical debridement and skin graft [3] .…”

Section: Introductionmentioning

confidence: 67%

“…Ingestion of caustic materials as a suicidal tool and its devastating consequences are well documented in the literature, including, but not limited to, mucosal injury, esophageal stenosis, perforation, and subsequent risk of sepsis and shock [4] . However, two cases of cutaneous injection with a high concentration of chemicals to the upper limbs as suicidal attempts have been reported [2] , [3] . The first case was reported in 1996, where a 54-year-old female injected hypochlorite acid in the antecubital fossa, which resulted in a 5 × 7 cm necrotic eschar with no other associated symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…Initially, she underwent surgical decompression of the median nerve and debridement of the wound. Then, noninvasive interventions, including local wound care dressing and VAC therapy, were used to accomplish full wound closure over a 6-week period [2] .…”

Section: Discussionmentioning

confidence: 99%

“…The second case was of a young patient with a 3 × 1.5 cm defect and symptoms of median nerve compression resulting from a hypochlorite acid injection in the distal forearm. The patient was managed by surgical decompression of the median nerve and debridement of the wound, followed by vacuum-assisted closure (VAC) therapy to accomplish full wound closure at 6 weeks after injury [2] .…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Sodium-ypochlorite injection in antecubital fossa: A case report and literature review

Mahmoud

Aldekhayel

2021

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

Introduction Caustic cutaneous injections are rare and may result in challenging soft tissue defects necessitating urgent surgical reconstruction to preserve vital structures. We report a unique case of self-inflicted sodium hypochlorite injection to the left antecubital fossa as a suicidal attempt, which resulted in an exposed median nerve and brachial artery. The adventitia of the brachial artery was injured in this case; hence, the risk of an arterial blowout was considerable. After thorough debridement, the defect was reconstructed successfully with a reverse lateral arm flap. Conclusion Household bleach (sodium hypochlorite) injections are rare and may result in challenging soft tissue defects necessitating urgent surgical reconstruction to preserve vital structures.

show abstract

Section: Introductionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Sodium-ypochlorite injection in antecubital fossa: A case report and literature review

Mahmoud

Aldekhayel

2021

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

show abstract

“…The second case was for a patient with anorexia nervosa and self-induced vomiting who developed a full-thickness wound treated conservatively. 7 …”

Section: Discussionmentioning

confidence: 99%

The conservative management of self-inflicted chemical burns: Case report and literature review

Galo

Farid

Almasharqah

2022

Scars, Burns & Healing

View full text Add to dashboard Cite

Introduction Chemical burns, particularly injuries related to psychiatric illnesses, are underreported in the literature. We present two cases of self-inflicted alkali chemical burns managed conservatively. Frequent clinical review of the burn was aimed to ensure appropriate healing and compliance with the treatment plan based on regular dressing changes. Case 1 A 24-year-old woman presented during the first day of the initial injury with a minor self-inflicted chemical burn to the right forearm. The causative agent was an oven cleaner containing sodium hydroxide triggering an alkali-based burn. The surface area of the injury was 0.5% total body surface area (TBSA) full-thickness burn. The patient had a complex psychiatric history diagnosed with personality disorder, anxiety and depression. Case 2 A 55-year-old woman presented with a self-inflicted left forearm full-thickness burn (0.5% TBSA). This was five days after the initial injury from an oven cleaner containing sodium hydroxide. The patient had a psychiatric history of anxiety and depressive disorder. The mainstay of burn management was conservative with regular dressing changes and a topical agent. Telemedicine via a designated email address was given to the patient for virtual clinical burn review and any urgent issues. Photograph of the initial burn was taken, and clinic visits were scheduled to determine healing progress. Conclusion Self-inflicted chemical burns are to be managed within a multidisciplinary setting including early psychiatric involvement. We advocate a holistic approach to determine conservative or operative management, taking into account patient factors, burn complexity and clinician's judgement to streamline the treatment plan. Lay Summary Chemical burns due to self-harm are rare to see in clinical practice. A review of two cases secondary to intentional burns sustained using an oven cleaning material. Patients had psychiatric issues and were on medications to control symptoms. Close observation with regular dressings and topical cream would allow burns to heal without the need for an operation. Our recommendation would be to treat these burns with dressings and regular follow up in the clinic or virtually till healed.

show abstract

“Extensive necrosis following extravasation of alkali in the crease of the elbow after voluntary intravenous injection: A case report”

Lacroix

Jeanne

Martinot

et al. 2023

Annales de Chirurgie Plastique Esthétique

View full text Add to dashboard Cite

Caustic burn caused by intradermal self administration of muriatic acid for suicidal attempt: optimal wound healing and functional recovery with a non surgical treatment

Cited by 3 publications

References 20 publications

Sodium-ypochlorite injection in antecubital fossa: A case report and literature review

Sodium-ypochlorite injection in antecubital fossa: A case report and literature review

The conservative management of self-inflicted chemical burns: Case report and literature review

“Extensive necrosis following extravasation of alkali in the crease of the elbow after voluntary intravenous injection: A case report”

Contact Info

Product

Resources

About