# A Dreaded Complication of Corrosive Poisoning Leading to Gangrene of the Stomach and Duodenum: A Rare Case

## TL;DR

This paper presents a rare case of severe stomach and duodenum damage caused by corrosive poisoning in an adult.

## Contribution

The paper highlights a rare complication of corrosive poisoning with gangrenous changes confirmed by imaging and surgery.

## Key findings

- CT scan showed absence of wall enhancement, indicating necrosis in the stomach and duodenum.
- Surgical findings confirmed the imaging results, showing gangrenous changes and risk of perforation.

## Abstract

Corrosive poisoning is common in developing countries like India. It is mainly due to accidental consumption in children, whereas suicide is the usual intent in adults. It leads to devastating injuries, to the upper gastrointestinal tract such as necrosis and perforation. The long-term complications include stricture formation and gastric outlet obstruction. Here, we present the case of a 50-year-old male with an alleged history of corrosive acid ingestion. On contrast-enhanced computed tomography (CECT) of the abdomen, there was an absence of wall enhancement of the stomach and the first part of the duodenum, which was suggestive of necrosis or gangrenous changes with signs of impending perforation of the stomach and the first part of the duodenum. The patient was immediately taken up for surgery, and the intraoperative findings were consistent with the imaging findings.