title: Complete gastric outlet obstruction following acid ingestion complicated by acute pancreatitis and disseminated intravascular coagulation.
abstract: A case is described where accidental acid ingestion resulted in the development of oesophageal stricture and complete gastric outlet obstruction. Following a smoothly conducted pre-surgery endoscopic examination the patient developed acute pancreatitis, which, on initial clinical examination, was diagnosed as a viscus perforation. The severity of pancreatitis was such as to lead to disseminated intravascular coagulopathy and ultimately death. The interest lies in the fact that pancreatitis was precipitated in a previously traumatised stomach by such an innocuous procedure as fibre-optic endoscopy.
authors.affiliation: Department of Thoracic and Vascular Surgery, Mafraq Hospital, Abu Dhabi, United Arab Emirates.
authors.forename: Z
authors.initials: Z
authors.lastname: Ahmed
authors.forename: Z
authors.initials: Z
authors.lastname: Mohyuddin
mesh_terms: D000143:Acids / Q000009:adverse effects*; D000208:Acute Disease; D002057:Burns, Chemical / Q000150:complications*; D004211:Disseminated Intravascular Coagulation / Q000209:etiology*; D017809:Fatal Outcome; D017219:Gastric Outlet Obstruction / Q000139:chemically induced* / Q000150:complications; D005773:Gastroscopy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000209:etiology*
chemical_list: D000143:Acids