SEVERE DELAYED COMPLICATIONS FOLLOWING ACCIDENTAL INGESTION OF ALKALINE CLEANING FLUID IN A YOUNG ADULT : A CASE REPORT
DOI:
https://doi.org/10.31004/prepotif.v8i3.36341Keywords:
esofagitis korosif, keracunan yang tidak disengaja, konsumsi alkali, laporan kasus, perforasi lambungAbstract
Esofagitis korosif adalah kondisi yang dapat terjadi akibat konsumsi zat berbahaya secara tidak sengaja, khususnya zat alkali yang kuat. Zat-zat ini dapat merusak saluran gastrointestinal bagian atas secara parah, yang menyebabkan komplikasi seperti jaringan parut, penyempitan esofagus, perforasi, dan hasil lain yang berpotensi mengancam jiwa. Laporan kasus ini membahas seorang wanita berusia 21 tahun yang secara tidak sengaja mengonsumsi cairan pembersih kamar mandi, mengira itu minuman karena warnanya yang biru dan penyimpanannya dalam botol plastik. Awalnya, ia mengalami sensasi terbakar di tenggorokan, dada, dan perutnya, disertai dengan sinkop, kelemahan, dan muntah berwarna biru. Kemudian, ia mengalami gejala yang lebih parah termasuk nyeri tenggorokan, hematemesis, disfagia, dan melena. Pemeriksaan fisik menunjukkan luka bakar orofaring dan nyeri tekan perut, sementara pencitraan menunjukkan penyempitan esofagus, gastritis, dan kemungkinan perforasi lambung. Ia didiagnosis dengan esofagitis korosif akibat konsumsi alkali, yang diperumit oleh dugaan perforasi. Penanganannya meliputi status nihil per oral (NPO), cairan intravena, dan obat-obatan, diikuti dengan rujukan untuk perawatan bedah setelah tiga hari stabilisasi. Kasus ini menyoroti kebutuhan kritis untuk tindakan diagnostik dini, seperti endoskopi, dan pemantauan berkelanjutan dalam kasus konsumsi korosif, karena komplikasi yang tertunda dapat muncul meskipun ada perbaikan awal. Penyimpanan dan pelabelan zat berbahaya yang tepat merupakan strategi pencegahan utama untuk menghindari konsumsi yang tidak disengaja.References
Badiu Tisa, I., Pepelea, L., Pirvan, A., Lupan, I., Samasca, G., & Bordea, M. A. (2023). Endoscopic Grading as a Predictor to Develop Strictures in Corrosive Esophagitis in Children. Journal of Clinical Medicine, 12(4), 1699.
Chang, J. O., Choi, J. W., & Hwang, Y. (2016). A case of severe corrosive esophagitis, gastritis, and liver necrosis caused by ingestion of methyl ethyl ketone peroxide. Clinical and Experimental Emergency Medicine, 3(4), 256.
Civan, H. A., Gulcu, D., & Erkan, T. (2016). Corrosive esophagitis with benzalkonium chloride in a two days old neonate. Pediatric Gastroenterology, Hepatology & Nutrition, 19(3), 207-209.
Dall’Oglio, L., Caldaro, T., Foschia, F., Faraci, S., di Abriola, G. F., Rea, F., ... & De Angelis, P. (2016). Endoscopic management of esophageal stenosis in children: New and traditional treatments. World Journal of Gastrointestinal Endoscopy, 8(4), 212.
Enomoto N, Oono R, Kumaki Y, Irie T, Higuchi K, Baba H, et al. (2018) Video-Assisted Thoracoscopic Eshophagectomy for Eshopageal Stenosis Caused by Corrosive Esophagitis?A Case Report. Nihon Gekakei Rengo Gakkaishi (Journal Japanese Coll Surg.
Fak?oglu, E., Güney, L. H., & Ötgün, ?. (2023). Esophageal dilation through bouginage or balloon catheters in children, as the treatment of benign esophageal strictures: results, considering the etiology, and the methods. Turkish Journal of Trauma & Emergency Surgery, 29(5), 574.
Jun, D., Kim, H. J., Lee, H. S., Yoon, H. J., Park, J. Y., Kim, B. J., & Kim, J. G. (2020). Corrosive Esophagitis and Gastritis Induced by Glutaraldehyde Ingestion. Korean Journal of Helicobacter Upper Gastrointestinal Research, 20(3), 237-242.
Khan, H., Ahmed, M., Daoud, M., Philipose, J., Ahmed, S., & Deeb, L. (2019). Acute esophageal necrosis: a view in the dark. Case Reports in Gastroenterology, 13(1), 25-31.
Lim, C. H., Yen, H. H., Su, W. W., Lim, C. J., Tsai, H. C., & Chen, S. T. (2017). Extensive causative esophagitis caused by thermal injury: a case report and review of the literature. Case Reports in Gastrointestinal Medicine, 2017(1), 8243567
Majors, J., Zhuge, Y., Eubanks, J. W., & Weksler, B. (2016). Minimally invasive esophagectomy in a 6-year-old girl for the sequelae of corrosive esophagitis. The Journal of Thoracic and Cardiovascular Surgery, 152(5), e115-e116.
Maruhashi, T., Hanajima, T., Nakatani, K., Hattori, J., Takeuchi, I., Kataoka, Y., & Asari, Y. (2018). A case of intestinal obstruction due to inflammatory changes in the small intestine from alkaline ingestion. Acute Medicine & Surgery, 5(3), 285-288.
Mastracci, L., Grillo, F., Parente, P., Unti, E., Battista, S., Spaggiari, P., ... & Fiocca, R. (2020). Non gastro-esophageal reflux disease related esophagitis: an overview with a histologic diagnostic approach. Pathologica, 112(3), 128.
Mitra, T., Dixit, V. K., Shukla, S. K., Yadav, D. P., Thakur, P., & Thakur, R. K. (2020). Clinical profile of patients presenting with dysphagia?an experience from a tertiary care center in North India. JGH Open, 4(3), 472-476.
Montoro-Huguet, M. A. (2022). Dietary and nutritional support in gastrointestinal diseases of the upper gastrointestinal tract (I): esophagus. Nutrients, 14(22), 4819.
Oba, S., & Türk, H. ?. (2018). A case report of multiple anesthesia for pediatric surgery: 80 anesthesia applications in a period of 6 years. BMC anesthesiology, 18, 1-4.
Saito, M., Kiyozaki, H., Obitsu, T., Machida, E., Takahashi, J., Abe, I., ... & Rikiyama, T. (2019). A case of corrosive esophagitis causing extensive cicatricial esophageal stenosis treated by esophageal bypass with supercharged pedicled jejunal pull-up. International journal of surgery case reports, 64, 143-146.
Seo, J. Y., Kang, K. J., Kang, H. S., Kim, S. E., Park, J. W., Moon, S. H., ... & Park, C. K. (2015). Corrosive esophagitis caused by ingestion of picosulfate. Clinical Endoscopy, 48(1), 66-69.
Shaprynskyi, O. V., Shaprynskyi, Y. V., Hussein, M. B., Vorovskyi, O. O., Karyi, Y. V., Shaprynska, L. A., & Dmytryshyn, S. P. (2020). Modern methods of prevention and treatment of complications of cervical esophago-organ anastomosis at esophagoplasty.
Shaprynskyi, Y. V., Shaprynskyi, V. O., Bassam, M. H., Vorovskyi, O. O., & Karyi, Y. V. (2022). Results of preventive methods of occurrence cervical anastomotic complications in esophagoplasty.
Yamada, T., Kikkawa, T., Kitagami, H., Okawa, Y., Sakashita, K., Yamaguchi, K., ... & Hirano, S. (2020). Corrosive esophagitis and gastritis secondary to alkali ingestion treated with video-assisted thoracoscopic esophagectomy and laparoscopic total gastrectomy followed by second-stage reconstruction. Japanese Journal of Gastroenterological Surgery, 53(8), 627-634.
Yoon, S., Lee, S., Park, H. J., Kim, H. J., Yoon, J., Min, J. K., & Seo, J. M. (2018). Multidisciplinary intestinal rehabilitation for short bowel syndrome in adults: results in a Korean intestinal rehabilitation team. Journal of Clinical Nutrition, 10(2), 45-50
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Basyirotul Insiyah, Ardhian Noor Wicaksono
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work’s authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
