Abstract
A 68-year-old woman presented after intentional ingestion of a pH 11 caustic solution (sodium hypochlorite and sodium hydroxide). Urgent gastroscopy showed severe distal esophageal stricturing with Zargar IIA injury [1] that could not be traversed with a standard gastroscope ([Fig. 1]). A computed tomography (CT) scan did not show evidence of esophageal perforation.
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