Accidental ingestion of plaster of paris causing thermal injury of the esophagus and stomach in a toddler

Background: Plaster of Paris (POP) or calcium sulfate hemihydrate is commonly used in regular construction activities and medical appliances. Due to its easy availability, young children can be at risk of exposure. Mixing of POP with water results in exothermic reaction and production of heat.We rep...

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Main Authors: Anuradha Rai, Medha Mittal, Santosh Mittal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Indian Pediatrics Case Reports
Subjects:
Online Access:http://www.ipcares.org/article.asp?issn=2772-5170;year=2023;volume=3;issue=4;spage=234;epage=236;aulast=
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author Anuradha Rai
Medha Mittal
Santosh Mittal
author_facet Anuradha Rai
Medha Mittal
Santosh Mittal
author_sort Anuradha Rai
collection DOAJ
description Background: Plaster of Paris (POP) or calcium sulfate hemihydrate is commonly used in regular construction activities and medical appliances. Due to its easy availability, young children can be at risk of exposure. Mixing of POP with water results in exothermic reaction and production of heat.We report the acute endoscopic findings of thermal burn of the gastrointestinal mucosa, following accidental ingestion. Clinical Description: A 21-month-old boy presented with acute hematemesis in our emergency department with his mother giving a history of having noticed his fist full of POP. The child was otherwise stable, afebrile with swollen cheeks, lips, and oral mucosa with some crusting. Management and Outcome: The child was provided supportive care, and an early endoscopy was carried out, which revealed POP causing thermal injury of the mucosa of Zargar 2A grade. Conclusion: Our purpose of reporting this case is to highlight the less known deleterious effects of POP on the gastrointestinal mucosa and the importance of early endoscopic diagnosis, management along the lines of corrosive poisoning. Warning labels over the packets of POP and making them inaccessible to children are absolutely essential.
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spelling doaj.art-c65205b779694511ad49bcaf5b8960c72024-03-25T15:40:00ZengWolters Kluwer Medknow PublicationsIndian Pediatrics Case Reports2772-51702772-51892023-01-013423423610.4103/ipcares.ipcares_133_23Accidental ingestion of plaster of paris causing thermal injury of the esophagus and stomach in a toddlerAnuradha RaiMedha MittalSantosh MittalBackground: Plaster of Paris (POP) or calcium sulfate hemihydrate is commonly used in regular construction activities and medical appliances. Due to its easy availability, young children can be at risk of exposure. Mixing of POP with water results in exothermic reaction and production of heat.We report the acute endoscopic findings of thermal burn of the gastrointestinal mucosa, following accidental ingestion. Clinical Description: A 21-month-old boy presented with acute hematemesis in our emergency department with his mother giving a history of having noticed his fist full of POP. The child was otherwise stable, afebrile with swollen cheeks, lips, and oral mucosa with some crusting. Management and Outcome: The child was provided supportive care, and an early endoscopy was carried out, which revealed POP causing thermal injury of the mucosa of Zargar 2A grade. Conclusion: Our purpose of reporting this case is to highlight the less known deleterious effects of POP on the gastrointestinal mucosa and the importance of early endoscopic diagnosis, management along the lines of corrosive poisoning. Warning labels over the packets of POP and making them inaccessible to children are absolutely essential.http://www.ipcares.org/article.asp?issn=2772-5170;year=2023;volume=3;issue=4;spage=234;epage=236;aulast=endoscopygastrointestinal burnhematemesisthermal mucosal burn
spellingShingle Anuradha Rai
Medha Mittal
Santosh Mittal
Accidental ingestion of plaster of paris causing thermal injury of the esophagus and stomach in a toddler
Indian Pediatrics Case Reports
endoscopy
gastrointestinal burn
hematemesis
thermal mucosal burn
title Accidental ingestion of plaster of paris causing thermal injury of the esophagus and stomach in a toddler
title_full Accidental ingestion of plaster of paris causing thermal injury of the esophagus and stomach in a toddler
title_fullStr Accidental ingestion of plaster of paris causing thermal injury of the esophagus and stomach in a toddler
title_full_unstemmed Accidental ingestion of plaster of paris causing thermal injury of the esophagus and stomach in a toddler
title_short Accidental ingestion of plaster of paris causing thermal injury of the esophagus and stomach in a toddler
title_sort accidental ingestion of plaster of paris causing thermal injury of the esophagus and stomach in a toddler
topic endoscopy
gastrointestinal burn
hematemesis
thermal mucosal burn
url http://www.ipcares.org/article.asp?issn=2772-5170;year=2023;volume=3;issue=4;spage=234;epage=236;aulast=
work_keys_str_mv AT anuradharai accidentalingestionofplasterofpariscausingthermalinjuryoftheesophagusandstomachinatoddler
AT medhamittal accidentalingestionofplasterofpariscausingthermalinjuryoftheesophagusandstomachinatoddler
AT santoshmittal accidentalingestionofplasterofpariscausingthermalinjuryoftheesophagusandstomachinatoddler