PYLORIC STENOSIS SECONDARY TO HYDROCHLORIC ACID INGESTION

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Abstract
Ingestion of concentrated mineral (hydrochloric and sulfuric) acid frequently results in severe damage to the stomach but only minor and infrequent damage to the esophagus. This is surprising since the general conception is that corrosive ingestion leads predominantly to esophageal injury and stenosis. This is true of concentrated alkalis but apparently not for concentrated acids. This report of two cases with almost complete pyloric obstruction without permanent esophageal injury is prompted by the paucity of such reports in the English literature, by the excellent results following gastroenterostomy, and by the occurrence of homologous serum hepatitis after surgical convalescence. Case 1. —A 26-year-old white salesman was admitted to the hospital 45 days after the ingestion of muriatic acid. On that occasion the patient was inebriated and he ingested a small amount of acid in the mistaken belief that it was whiskey. He immediately spat the fluid out, induced vomiting, and then

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