住居用酸性洗剤の飲用で胃前庭部短軸方向に線状潰瘍を発症した1例

Abstract

A case of corrosive linear gastric ulcer on the antrum developing in the short axial direction caused by ingestion of domestic acidic detergent is reported. The patient was a 49-year-old woman without any psychiatric diseases, but had been suffering from a depressive state since her father died in June of 1998. On June 19, 1999, she was admitted to Oyodo Municipal Hospital as an emergency because she had ingested about 50 ml of a domestic acidic detergent with the intention to commit suicide. Gastrointestinal fiberscopy(GIF)on admission revealed severe erosions in the entire stomach but few abnormal findings in the esophagus. We initiated fasting therapy and intravenous high calory infusion therapy, and began to inject antibiotics and H2 blockers. GIF on the 11th day after admission showed severe redness from the lower part to the antrum of the stomach and a long linear ulcer on the short axis direction of the greater curve on the antrum, but no abnormal findings in the esophagus and the duodenum. GIF on the 18th day after admission indicated improvement in the long linear ulcer on the antrum, and the patient was discharged on July 13.