Accidental ingestion of hydrochloric acid causing acute gastric perforation in a child

ABSTRACT

In children, accidental ingestion of acid produces gastric outlet obstruction in most instances. Rarely, gastric perforation may occur. A 3-year-old boy presented immediately after accidental ingestion of hydrochloric acid [HCI] with abdominal distension, lethargy, and acidotic breathing. Abdominal radiograph revealed massive air under diaphragm. Laparotomy was performed after initial resuscitation. Stomach was found sloughed off at the greater curvature. The necrosed gastric part was resected and the remaining stomach repaired transversely. The patient is in follow up