Open AccessTotal Gastric Necrosis as a Presentation of Aluminum Phosphide Poisoning: A Case Report
Author(s) -
Arash Mohammadi Tofigh,
Javad Zebarjadi Bagherpour,
Parham Nikraftar
Publication year - 2020
Publication title -
international journal of medical toxicology and forensic medicine
Language(s) - English
Resource type - Journals
eISSN - 2251-8770
pISSN - 2251-8762
DOI - 10.32598/ijmtfm.v10i3.31244
Subject(s) - medicine , surgery , abdominal pain , necrosis , septic shock , pill , peritonitis , sepsis , pharmacology
Background: Rice pill poisoning is among the most frequent causes of death among prisoners. Despite advances in the treatment of this poisoning, its mortality rate remains high. The symptoms of Aluminum Phosphide (AlP) poisoning are varied and progressive. One of the essential foundations of diagnosis is based on the history of swallowing the pill by the patient or their companions.
Case report: A 20-year-old woman with generalized abdominal pain and a diagnosis of peritonitis was operated. The operative finding was total gastric necrosis. After the operation, the patient's husband claimed that she had consumed some rice pills, intending to commit suicide. Despite all efforts, she remained in persistent septic shock and multi-organ failure and passed away after surgery.
Conclusion: Total gastric necrosis could be among the lethal complications of rice tablet (AlP) poisoning.