Acute Oral Acetic Acid Intoxication: A Case Report
摘要
Diluted acetic acid in the form of vinegar (5%) is safe for human consumption; however, intake of weakly diluted or undiluted acetic acid can be deadly. A 49-year-old man presented to the emergency department with acute acetic acid intoxication. Results from various tests revealed metabolic acidosis, disseminated intravascular coagulopathy, acute liver dysfunction, acute renal failure, and acute respiratory failure. Upper gastrointestinal panendoscopy revealed third-degree gastrointestinal corrosion. The signs of peritoneal irritation were noted. An emergency total gastrectomy was performed. After aggressive treatment, the patient was discharged in critical condition 8 hours after having arrived at the emergency department and died at home. In our review of the literature, no reports have been published regarding surgery or the taking of biopsy specimens in patients with acetic acid intoxication. The pathology of the biopsy specimens taken from revealed extensive necrotizing inflammation and massive hemorrhage. Hemodialysis may be performed when severe metabolic acid and renal failure develop in patients with acute acetic acid intoxication.