Massive gut ischemia and necrosis post overdose

Discussion:

Urgent laparotomy was performed and confirmed almost total necrosis of the GIT from the stomach (below the PEG) to the splenic flexure. Intraoperative consultant surgical decision was that this extent of injury was non-survivable and the abdomen was closed.

The patient died a few hours later.

With the history of mental illness and a significant esophagogastric injury from previous bleach (alkali) ingestion, a repeat overdose is likely to have caused this injury.

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