Sodium bicarbonate
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Spontaneous gastric perforation: case report A 51-year-old man developed spontaneous gastric perforation following ingestion of sodium bicarbonate due to copious food intake. The man was hospitalised due to sudden pain in the epigastrium. The pain in the epigastrium had started 24 hours prior to admission upon ingestion of sodium bicarbonate [dosage not stated] due to copious food intake. On admission, he was conscious and oriented. His body temperature was 36.6°C, BP was 130/98mm Hg, RR was 28 and HR was 98 [units not stated]. Rhythmic cardiac sounds and well-ventilated pulmonary fields were found on chest examination. Pain on palpation and signs of peritoneal irritation in all four quadrants were noted on abdominal examination. An abdominal CT scan revealed intra-abdominal free air, gastric content leakage towards the peritoneal cavity and striation of the surrounding fat at the level of the minor curvature. Therefore, he was brought to the operating room and the hollow visceral perforation was observed by laparoscopy. Additionally, free fluid with gastric characteristics, generalised peritonitis and a perforation of approximately 5 x 5cm in the minor curvature of the stomach were noted. Thereafter, the procedure was converted and a supraumbilical laparotomy, cavity lavage and partial gastrectomy were performed, encompassing the minor curvature with preservation of the pylorus and intestinal transit. He was discharged following 7 days of hospitalisation. At the time of discharge, he was able to take the substances via oral route and did not have any other complications. Pathology did not show any inflammatory process, ruling out any neoplasm or peptic acid disease. He did not have any complications during a postoperative follow-up 6 months later. Patino-Gallegos JA, et al. Spontaneous rupture of the stomach secondary to bicarbonate ingestion. Revista de Gastroenterologia de Mexico : 2020. Available from: URL: http:/ 803503973 /doi.org/10.1016/j.rgmx.2020.07.004 [Spanish; summarised from a translation]
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Reactions 26 Sep 2020 No. 1823
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