CT imaging of gastric and hepatic complications after ingestion of glacial acetic acid

Seog Joon Kim, Sung Bum Cho, Jae Min Cho, Myung Jin Chung, Sang Hyun Paik, So Young Kim, Deuk Jae Sung, Yun Hwan Kim

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

OBJECTIVE: To document the computed tomographic (CT) image features of gastric and hepatic complications after ingestion of glacial acetic acid. MATERIALS AND METHODS: There were 5 patients (2 men and 3 women; age range, 2-84 years) who had ingested glacial acetic acid to commit suicide or accidentally. Their abdominal and chest CT scans were retrospectively reviewed to detect and evaluate visceral organ injury. Clinical and laboratory data were also reviewed. RESULTS: Diffuse edematous wall thickening of esophagus and stomach was observed in all patients. Three patients showed nonenhancing, wedge-shaped low densities in the liver on portal venous phase abdominal CT scans. These 3 patients also showed laboratory findings to indicate hepatic failure, hemolysis, metabolic acidosis, and disseminated intravascular coagulation. Two of these patients died despite vigorous supportive treatment. CONCLUSIONS: Wedge-shaped low densities can be seen in the liver on CT scans after ingestion of glacial acetic acid. They may represent hepatic necrosis caused by the direct effect of toxic materials absorbed into portal circulation.

Original languageEnglish
Pages (from-to)564-568
Number of pages5
JournalJournal of Computer Assisted Tomography
Volume31
Issue number4
DOIs
Publication statusPublished - 2007 Jul

Keywords

  • Acetic acid
  • Computed tomography
  • Injuries
  • Liver

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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    Kim, S. J., Cho, S. B., Cho, J. M., Chung, M. J., Paik, S. H., Kim, S. Y., Sung, D. J., & Kim, Y. H. (2007). CT imaging of gastric and hepatic complications after ingestion of glacial acetic acid. Journal of Computer Assisted Tomography, 31(4), 564-568. https://doi.org/10.1097/01.rct.0000284389.53202.f8