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 1

Fingerprint

Acetic Acid
Stomach
Eating
Liver
Disseminated Intravascular Coagulation
Poisons
Liver Failure
Hemolysis
Acidosis
Suicide
Esophagus
Necrosis
Thorax
Wounds and Injuries
Therapeutics

Keywords

  • Acetic acid
  • Computed tomography
  • Injuries
  • Liver

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

CT imaging of gastric and hepatic complications after ingestion of glacial acetic acid. / Kim, Seog Joon; Cho, Sung Bum; Cho, Jae Min; Chung, Myung Jin; Paik, Sang Hyun; Kim, So Young; Sung, Deuk Jae; Kim, Yun Hwan.

In: Journal of Computer Assisted Tomography, Vol. 31, No. 4, 01.07.2007, p. 564-568.

Research output: Contribution to journalArticle

Kim, Seog Joon ; Cho, Sung Bum ; Cho, Jae Min ; Chung, Myung Jin ; Paik, Sang Hyun ; Kim, So Young ; Sung, Deuk Jae ; Kim, Yun Hwan. / CT imaging of gastric and hepatic complications after ingestion of glacial acetic acid. In: Journal of Computer Assisted Tomography. 2007 ; Vol. 31, No. 4. pp. 564-568.
@article{1c3766b0f5db44e58e22c6a20c4f29ef,
title = "CT imaging of gastric and hepatic complications after ingestion of glacial acetic acid",
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.",
keywords = "Acetic acid, Computed tomography, Injuries, Liver",
author = "Kim, {Seog Joon} and Cho, {Sung Bum} and Cho, {Jae Min} and Chung, {Myung Jin} and Paik, {Sang Hyun} and Kim, {So Young} and Sung, {Deuk Jae} and Kim, {Yun Hwan}",
year = "2007",
month = "7",
day = "1",
doi = "10.1097/01.rct.0000284389.53202.f8",
language = "English",
volume = "31",
pages = "564--568",
journal = "Journal of Computer Assisted Tomography",
issn = "0363-8715",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - CT imaging of gastric and hepatic complications after ingestion of glacial acetic acid

AU - Kim, Seog Joon

AU - Cho, Sung Bum

AU - Cho, Jae Min

AU - Chung, Myung Jin

AU - Paik, Sang Hyun

AU - Kim, So Young

AU - Sung, Deuk Jae

AU - Kim, Yun Hwan

PY - 2007/7/1

Y1 - 2007/7/1

N2 - 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.

AB - 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.

KW - Acetic acid

KW - Computed tomography

KW - Injuries

KW - Liver

UR - http://www.scopus.com/inward/record.url?scp=34648832998&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34648832998&partnerID=8YFLogxK

U2 - 10.1097/01.rct.0000284389.53202.f8

DO - 10.1097/01.rct.0000284389.53202.f8

M3 - Article

C2 - 17882032

AN - SCOPUS:34648832998

VL - 31

SP - 564

EP - 568

JO - Journal of Computer Assisted Tomography

JF - Journal of Computer Assisted Tomography

SN - 0363-8715

IS - 4

ER -