Acute corrosive gastritis

Case contributed by Dr Ammar Haouimi

Presentation

Severe epigastric pain with vomiting, and hematemesis after a suicide attempt with caustic ingestion.

Patient Data

Age: 75 years
Gender: Male
CT

Diffuse gastric wall edema with no mucosal enhancement on postcontrast sequences in keeping with extensive necrosis. No gastric perforation is seen.

A calcified hepatic hydatid cyst is noted as well as a gallstone and left renal stone.

Case Discussion

CT features of acute corrosive gastritis. At endoscopy, the caustic lesions were classified grade 3B (extensive necrosis), according to the endoscopic grading of the caustic gastrointestinal injury 1.

 

Additional contributor: A. Ramdani, MD

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Case information

rID: 72257
Published: 12th Dec 2019
Last edited: 14th Dec 2019
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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