A case of severe corrosive esophagitis, gastritis, and liver necrosis caused by ingestion of methyl ethyl ketone peroxide

The plastic hardener methyl ethyl ketone peroxide is unstable peroxide that releases free oxygen radicals. Ingestion of this compound induces widespread liver necrosis, severe metabolic acidosis, corrosive esophagitis and gastritis, that is often fatal. A 49-year-old man unintentionally ingested approximately 100 mL (55%) of this compound in solution, which was purchased as plastic hardener. Despite resuscitation, he died about 11 hours after admission. We report a patient with poisoning due to methyl ethyl ketone peroxide who presented with corrosive esophagitis and gastritis, gastrointestinal bleeding, and developed ischemia of the bowel and necrosis of the liver and died of severe metabolic acidosis and multiorgan failure.

A Case of Corrosive Gastritis Caused by Salt-fermented Northern Sand Lance / 대한소화기내시경학회지

We experienced a case of an 18-year-old woman who ingested salt-fermented northern sand lance and developed corrosive gastritis. The patient underwent a esophagogastroscopy and had developed a deep ulceration in the antrum. This cases shows that salt-fermented northern sand lance, which is very acidic and includes various biogenic amines, has the possibility of inducing a corrosive injury to the stomach.

Empirical study and treatment analysis of corrosive gastritis by toilet cleaner / 中华急诊医学杂志

Objective To study the gastrointestinal tract damage induced by acid detergent toilet cleaner and treatment methods.Method Acute toxicity of toilet cleaner was studied using big white rabbits.Subacute and chronic toxicity and treatment methods were studied by hospital patients.Results After falling 15 ml toilet cleaner into stomach through mouth in 2 rabbits,both died of gastric perforation.After one patient misapplied with 50 ml to//et cleaner,gastric corrosive ulcer was found by gastroscopy after treatment 7 d,gastric constrictive inflammation was found by upper gastrointestinal barium meal at 14 d after treatment,and gastric scarring was found by gastroscopy after treatment 51 d.Conchusions Acid detergent toilet cleaner mainly harm gastric mucosa,gastric perforation is easily induced in acute stage,gastric ulcer induced in subacute stage,and scarring induced in chronic stage.Taking orally pure milk,inhibiting gasuic acid secretion and haemostasis are mainly treatment methods.Examination of gastroscopy and upper gastrintesinal barium meal may be carried out in subaeute and chronic stages.