title: Urine sugar reagent tablet ingestion causing gastric and duodenal ulceration.
abstract: The accidental or intentional ingestion of urine sugar reagent (Clinitest) tablets, a potent caustic, has been reported to cause severe esophageal mucosal damage and stricture formation. Gastric mucosal damage was reported once before in a man who intentionally ingested 26 Clinitest tablets. We encountered a case of accidental Clinitest tablet ingestion causing gastric and duodenal ulceration without esophageal damage, a previously undescribed complication of inadvertent Clinitest tablet ingestion. Our case reemphasizes the role of early fiberoptic endoscopy in the evaluation of caustic ingestions.
mesh_terms: D000059:Accidents; D002951:Citrates / Q000506:poisoning*; D019343:Citric Acid; D019327:Copper Sulfate; D048909:Diabetes Complications; D004338:Drug Combinations / Q000506:poisoning; D004381:Duodenal Ulcer / Q000139:chemically induced* / Q000175:diagnosis; D004384:Duodenoscopy; D005773:Gastroscopy; D006801:Humans; D007202:Indicators and Reagents / Q000506:poisoning*; D008297:Male; D008875:Middle Aged; D017693:Sodium Bicarbonate; D013276:Stomach Ulcer / Q000139:chemically induced* / Q000175:diagnosis
chemical_list: D002951:Citrates; D004338:Drug Combinations; D007202:Indicators and Reagents; D019343:Citric Acid; C010892:Clinitest; D017693:Sodium Bicarbonate; D019327:Copper Sulfate