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Gastrointestinal Hemorrhage in Aluminum Phosphide Poisoning
Author(s) -
Hugar Basappa S.,
Praveen Shivaramareddy,
Hosahally Jayanth S.,
Kainoor Sunilkumar,
Shetty Akshith Raj S.
Publication year - 2015
Publication title -
journal of forensic sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.715
H-Index - 96
eISSN - 1556-4029
pISSN - 0022-1198
DOI - 10.1111/1556-4029.12588
Subject(s) - medicine , vomiting , duodenum , ingestion , autopsy , jejunum , stomach , surgery , poison control , nausea , irritation , gastroenterology , medical emergency , immunology
Poisoning, both accidental and intentional, is a significant contributor to the mortality and morbidity throughout the world. The commonest pesticide poisoning is organophosphates followed by phosphides. Ingestion of phosphides can induce severe gastrointestinal irritation leading to hemorrhage and ulcerations. Gastrointestinal hemorrhages and ulcerations beyond the duodenum have not been reported in the literature. Here, we report a case of severe hemorrhages and ulcerations in stomach, duodenum, jejunum, and ileum observed in a 45‐year‐old male who had consumed five tablets of Celphos ® (each 3 g with 56% aluminum phosphide and 44% Ammonium carbonate) to commit suicide. He started vomiting after consumption, and the vomitus was blood‐tinged. Once the treatment was instituted, he was stable for a day and thereafter his condition gradually deteriorated. He died on the 4th day of hospitalization, and autopsy revealed features of multiorgan failure and extensive gastrointestinal hemorrhages.