Corrosive ingestion
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Transcript of Corrosive ingestion
CASE 1
33Y/F
C/O – SECONDARY INFERTILITY.
H/O SPONTANEOUS ABORTION 3 YRS BACK
D/D ON HSG
ENDOMETRIAL POLYP
SUBMUCOSAL FIBROID
AIR IN ENDOMETRIAL CAVITY
GESTATIONAL SAC OR RPOC
RETAINED BLOOD CLOT
USG
Diagnosis-ENDOMETRIAL POLYP
Benign nodular protrusions of the endometrial surface.
Sessile or pedunculated
Asymptomatic , may cause infertility , inter-menstrual bleeding, metrorrhagia, and, post-menopausal bleeding.
CASE 2
35 Y /M
C/O - DYSPHAGIA FOR BOTH SOLID AND LIQUID,PAIN ABDOMEN x 25 Days
CORROSIVE INGESTION 1 MONTH BACK.
THICKENED RUGAL FOLDS
FINE ULCERS (BODY) AND VOLUME LOSS OF STOMACH
CAUSTIC INJURY
Severity and extent depends upon type , conc. , and volume of agent.
Alkaline agents produces deep coagulation necrosis but acids tends to be superficial.
Initial symptoms- chest pain, dysphagia
RADIOGRAPHIC FINDINGS – 1ST 24 HOUR- Blurred margins , contour
irregularity, ulcerations or thickened folds (in severe injury).
1st week – esophageal wall thickened and luminal narrowing , frank ulcerations , pseudomembrane .
2-6 weeks – severe fibrosis luminal narrowing (return
/onset of dysphagia) Contour resume smooth after epithelial
regeneration.
Gastric involvement primarily distal part of stomach may cause ulcerations, pyloric stenosis , frank outlet obstruction and atony .
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