Unusual cutaneous presentation in a corrosive acid ingestion.
India
autopsy
corrosive acid ingestion
forensic pathology
perforation
peritonitis
suicide
Journal
Journal of forensic sciences
ISSN: 1556-4029
Titre abrégé: J Forensic Sci
Pays: United States
ID NLM: 0375370
Informations de publication
Date de publication:
Sep 2021
Sep 2021
Historique:
revised:
05
04
2021
received:
08
12
2020
accepted:
06
04
2021
pubmed:
25
4
2021
medline:
8
9
2021
entrez:
24
4
2021
Statut:
ppublish
Résumé
Corrosive digestive tract injuries are considered to be a source of morbidity and mortality worldwide. The cases of acid ingestion in Forensic Medicine practice are not infrequent. Corrosive ingestion usually presents with injuries over the face, oropharynx, esophagus, and gastrointestinal tract. We report a case of a 65-year-old woman who was brought to the emergency department with a history of ingestion of toilet cleaner at her home. Following this, she developed blackish-brown discoloration over the abdomen. The patient survived for less than one day. An autopsy confirmed the perforation of the stomach and small intestine. 500 ml of blackish fluid was present in the peritoneal cavity which resulted in corrosive peritonitis. The chemical examiner's report showed corrosive mixtures comprising sulfate, nitrate, and chloride ions in the peritoneal contents. This case report highlights atypical cutaneous presentation over the abdomen following corrosive acid ingestion, which has not been reported previously. The possible explanation for this cutaneous manifestation was corrosive effects of the underlying viscera due to its close proximation to the abdominal wall and presence of minimal intra-abdominal fat. A direct physical connection between perforation and cutaneous findings was not identified. The case emphasizes the need for a comprehensive approach in managing such cases, analyzing ingested material, and following standard autopsy protocols in case of death.
Identifiants
pubmed: 33893644
doi: 10.1111/1556-4029.14738
doi:
Substances chimiques
Caustics
0
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
1992-1995Informations de copyright
© 2021 American Academy of Forensic Sciences.
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