Caustic Gastroduodenal Injury

Published on 09/08/2015 by admin

Filed under Radiology

Last modified 09/08/2015

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 Classically damaged by strong alkaline agents

• Gastroduodenal injury is next most common

image Most likely to be damaged by strong acids
• Acute: Mild to moderate severity

image Gastric and esophageal, ± duodenal submucosal edema
image Best evaluated by CECT
image Caustic agents cause intense pylorospasm, so duodenal injury is less common
• Acute: Severe

image Pneumoperitoneum (perforation)
• Chronic phase

image Gastric outlet obstruction (antral scarring and fibrosis)
image Linitis plastica: Small, aperistaltic stomach with effaced folds
image Best evaluated by upper GI series

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