Abstract
1All authors: Department of Radiology, Harborview Medical Center, University of Washington School of Medicine, 325 Ninth Ave., Box 359728, Seattle, WA 981042499. Address correspondence to F. A. Mann (famann@u.washington.edu). Case Report A 29-year-old man with schizophrenia presented to the emergency department with abdominal pain immediately after ingesting approximately 200 mL of cleaning solution containing 36% hydrochloric acid. Initial unenhanced CT of the chest, abdomen, and pelvis showed an intact stomach and a small amount of free intraperitoneal fluid (Fig. 1A). Direct endoscopy showed mucosal injury in the oropharynx, hypopharynx, and supraglottic region, and diffuse caustic injury to the esophageal mucosa. Because of worsening clinical status, a contrast-enhanced CT of the abdomen was performed 2 days later, showing gastric necrosis and perforation (Fig. 1B). The patient died shortly thereafter.
Published Version
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