Abstract
A 60-year-old-man was admitted to our hospital following intentional ingestion of hydrochloric acid. Examination revealed diffuse upper gastrointestinal injury, acute pancreatitis, hemolytic anemia, and laceration of the forehead. After stabilizing the vital parameters, despite our attempts to treat the esophageal and pyloric stenosis, scar retraction of the esophagus slowly progressed over a period of 10 months, resulting in complete esophageal obstruction. Many reports recommend surgery at 6 months after the ingestion of a caustic substance to avoid anastomotic stenosis. However, our case suggests that stenosis may continue to progress for as long as 10 months, therefore, surgical intervention should be withheld for approximately a year to avoid the risk of anastomotic stenosis.
