A case of gastric cicatrization caused by ingestion of sulfuric acid, treated with Hunt-Lawrence jejunal pouch substitution for the stomach.
To the authors' knowledge, there had been no reported pediatric case of total cicatrization of the stomach owing to acid ingestion. The authors report a case caused by sulfuric acid ingestion. When admitted, the child did not have any oral intake and was fed through a jejunostomy, which had been placed in an other center. An upper gastrointestinal barium study showed a small gastric fundal pouch and no passage to the duodenum, but with passage to the jejunum through two fistulas. The modified Hunt-Lawrence pouch was created using the fistulous jejunal segment. After 6 months the patient is well.
Department of Pediatric Surgery, Dokuz Eylül University, Medical Faculty, Izmir, Turkey.
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D000713:Anastomosis, Roux-en-Y; D002057:Burns, Chemical / Q000150:complications; D002675:Child, Preschool; D002921:Cicatrix / Q000139:chemically induced* / Q000150:complications; D017219:Gastric Outlet Obstruction / Q000150:complications / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology / Q000601:surgery; D007579:Jejunal Diseases / Q000209:etiology / Q000601:surgery; D007583:Jejunum / Q000601:surgery*; D008297:Male; D011708:Pylorus / Q000601:surgery*; D013464:Sulfuric Acids / Q000009:adverse effects*
D013464:Sulfuric Acids; C033158:sulfuric acid