Gastric Necrosis with Perforation Following Accidental Acid Ingestion in a Toddler: A Rare Case Report
Mohammad Aadil, Mohammad Zubair Amaan, Rizwan Ahmed Khan, Yousuf Siddiqui
Asian Journal of Case Reports in Surgery · pp. 628–633 · Published 26 Sep 2025
10.9734/ajcrs/2025/v8i2694Abstract
Accidental ingestion of corrosive substances is common in developing countries in paediatric age group and can result in severe gastrointestinal injuries and lifelong morbidities. Corrosive ingestion can cause progressive and irreversible damage to the upper gastrointestinal tract, with complications ranging from superficial mucosal burns to life-threatening full-thickness necrosis and perforation which eventually can lead to death. While esophageal strictures are a well-documented long-term sequela, acute gastric perforation with necrosis remains a rare and particularly fatal complication that requires high clinical suspicion and immediate surgical management. We present the case of a 4 year old boy with accidental ingestion of toilet cleaning acid, managed successfully with emergency laparotomy with distal gastrectomy with stump closure of duodenum with retrocolic gastrojejunostomy with feeding jejunostomy.
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