Ingestion of Corrosive Substances

  • Caustic or corrosive ingestion in an adult patient is a rare but potentially life-threatening condition with a mortality of 10% among intensive care unit (ICU) patients
  • Corrosives/caustic substances are capable of causing tissue injury on contact by chemical reactions, from the lips to the stomach, sometimes resulting in esophageal or gastric perforation, strictures (esophageal stricture & gastric stricture), or sepsis.
  • Caustics include:
    Alkalis: Potassium /sodium hydroxide, dishwashing detergents, disk batteries, bleaches such as Chlorine bleach (sodium hypochlorite), and cement.
    Acids: hydrochloric acid, sulfuric acid, oxygen bleach (hydrogen peroxide . . .

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