Journal of Emergencies, Trauma, and Shock
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 Table of Contents    
LETTER TO EDITOR  
Year : 2015  |  Volume : 8  |  Issue : 3  |  Page : 175-176
Acid ingestion in pediatric population; negligence to be compensated with lifelong morbidity


Department of Pediatric Surgery, Indira Gandhi Institute of Child Health, Bangalore, Karnataka, India

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Date of Web Publication13-Jul-2015
 

How to cite this article:
Jadhav V, Solanki S, Shankar G, Santhanakrishnan R. Acid ingestion in pediatric population; negligence to be compensated with lifelong morbidity. J Emerg Trauma Shock 2015;8:175-6

How to cite this URL:
Jadhav V, Solanki S, Shankar G, Santhanakrishnan R. Acid ingestion in pediatric population; negligence to be compensated with lifelong morbidity. J Emerg Trauma Shock [serial online] 2015 [cited 2019 Dec 5];8:175-6. Available from: http://www.onlinejets.org/text.asp?2015/8/3/175/145421


Dear Editor,

Acid ingestion in pediatric population is not very uncommon in developing countries even in the twenty-first century. Negligence of parents' toward acid handling at home is a major concern. The lack of legislation for acid manufacturer and free availability in open market also contribute to this. We are presenting a case of acid ingestion with its grave consequences.

The laparotomy finding of a 3-year-old male child was very unfortunate, the stomach was completely split opened and three-fourth of the stomach along the greater curvature was necrosed completely [Figure 1]. The child presented in poor condition with history of accidental acid ingestion (stored in a soft drink bottle) three days back.
Figure 1: Stomach along the greater curvature (white arrow) necrosed completely

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During operation, necrosed part of the stomach was excised and lesser curvature which seemed viable was converted into a tube and brought out as end gastrostomy, the distal duodenal end was closed [Figure 2]. Finally, the child recovered well after a stormy postoperative course but he will require a major reconstructive procedure later.
Figure 2: Gastric tube made by viable lesser curvature (black arrow) which was brought out as end gastrostomy and the distal duodenal (white arrow) end was closed

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Children are more prone to acid injury because:

  1. Negligence of parents towards acid handling,
  2. Availability of acid without safety mechanism,
  3. Storage of acid in soft drink or colourful bottles are tempting, and
  4. Curiosity of children especially toddler to put anything into the mouth.


Corrosive ingestion requires surgical intervention in case of perforation of the esophagus (can lead to tracheoesophageal fistula), may require immediate esophagectomy with resultant cervical esophagostomy and gastrostomy. Perforation of the stomach or duodenum (may lead to peritonitis, shock, and death) requires immediate operation and further reconstructive surgeries later. [1],[2],[3]

 
   References Top

1.
Lupa M, Magne J, Guarisco JL, Amedee R. Update on the diagnosis and treatment of caustic ingestion. Ochsner J 2009;9:54-9.  Back to cited text no. 1
    
2.
Ceylan H, Ozokutan BH, Gündüz F, Gözen A. Gastric perforation after corrosive ingestion. Pediatr Surg Int 2011;27:649-53.  Back to cited text no. 2
    
3.
Gün F, Abbasoðlu L, Celik A. Acute gastric perforation after acid ingestion. J Pediatr Gastroenterol Nutr 2002;35:360-2.  Back to cited text no. 3
    

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Correspondence Address:
Shailesh Solanki
Department of Pediatric Surgery, Indira Gandhi Institute of Child Health, Bangalore, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2700.145421

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    Figures

  [Figure 1], [Figure 2]



 

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