corrosive ingestion

CASE 1

33Y/F

C/O – SECONDARY INFERTILITY.

H/O SPONTANEOUS ABORTION 3 YRS BACK

D/D ON HSG

ENDOMETRIAL POLYP

SUBMUCOSAL FIBROID

AIR IN ENDOMETRIAL CAVITY

GESTATIONAL SAC OR RPOC

RETAINED BLOOD CLOT

USG

Diagnosis-ENDOMETRIAL POLYP

Benign nodular protrusions of the endometrial surface.

Sessile or pedunculated

Asymptomatic , may cause infertility , inter-menstrual bleeding, metrorrhagia, and, post-menopausal bleeding.

CASE 2

35 Y /M

C/O - DYSPHAGIA FOR BOTH SOLID AND LIQUID,PAIN ABDOMEN x 25 Days

CORROSIVE INGESTION 1 MONTH BACK.

THICKENED RUGAL FOLDS

FINE ULCERS (BODY) AND VOLUME LOSS OF STOMACH

CAUSTIC INJURY

Severity and extent depends upon type , conc. , and volume of agent.

Alkaline agents produces deep coagulation necrosis but acids tends to be superficial.

Initial symptoms- chest pain, dysphagia

RADIOGRAPHIC FINDINGS – 1ST 24 HOUR- Blurred margins , contour

irregularity, ulcerations or thickened folds (in severe injury).

1st week – esophageal wall thickened and luminal narrowing , frank ulcerations , pseudomembrane .

2-6 weeks – severe fibrosis luminal narrowing (return

/onset of dysphagia) Contour resume smooth after epithelial

regeneration.

Gastric involvement primarily distal part of stomach may cause ulcerations, pyloric stenosis , frank outlet obstruction and atony .

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