염산에 의한 부식성 위궤양에 합병된 완전 위출구 폐쇄 1례

Abstract

The incidence of corrosive ingestion has been decreased, compared to past years. However, suicide attempts by ingestion of corrosive agents are relatively common. Ingestion of hydrochloric acid (HCl) can produce severe injury in the gastrointestinal tract and can even result in death. Gastric outlet obstruction (GOO) is rare late sequelae of acid ingestion. We experienced a case of 26 year-old woman who ingested hydrochloric acid for suicidal attempt and as a result developed postprandial abdominal fullness and persistent vomiting 3 weeks thereafter. The patient underwent upper gastrointestinal series and endoscopy. The patient was found to have complete pyloric obstruction with corrosive gastric ulcer. The patient was successfully treated by laparoscopic assisted gastrojejunostomy. In this report, we present our experience with the treatment of HCl-induced gastric outlet obstruction.