Total Gastric Necrosis as a Presentation of Aluminum Phosphide Poisoning: A Case Report
International Journal of Medical Toxicology and Forensic Medicine,
Vol. 10 No. 3 (2020),
27 September 2020
Background: Rice pill poisoning is among the most frequent causes of death among poisoners. 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.
- Aluminum Phosphide, Gastric Necrosis
How to Cite
1. Bumbrah GS, Krishan K, Kanchan T, Sharma M, Sodhi GS. Phosphide poisoning: a review of literature. Forensic science international. 2012;214(1-3):1-6.
2. Nosrati A, Karami M, Esmaeilnia M. Aluminum phosphide poisoning: A case series in north Iran. Asia Pacific Journal of Medical Toxicology. 2013;2(3):111-3.
3. Shields LB, Hunsaker DM, Hunsaker III JC, Ward MK. Toxicologic findings in suicide: a 10-year retrospective review of Kentucky medical examiner cases. The American journal of forensic medicine and pathology. 2006;27(2):106-12.
4. Mathai A, Bhanu MS. Acute aluminium phosphide poisoning: Can we predict mortality? Indian journal of anaesthesia. 2010;54(4):302.
5. Anand R, Kumari P, Kaushal A, Bal A, Wani WY, Sunkaria A, et al. Effect of acute aluminum phosphide exposure on rats—A biochemical and histological correlation. Toxicology letters. 2012;215(1):62-9.
6. Mehrpour O, Alfred S, Shadnia S, Keyler D, Soltaninejad K, Chalaki N, et al. Hyperglycemia in acute aluminum phosphide poisoning as a potential prognostic factor. Human & experimental toxicology. 2008;27(7):591-5.
7. Anand R, Binukumar B, Gill KD. Aluminum phosphide poisoning: an unsolved riddle. Journal of applied toxicology. 2011;31(6):499-505.
8. Gupta S, Ahlawat SK. Aluminum phosphide poisoning—a review. Journal of Toxicology: Clinical Toxicology. 1995;33(1):19-24.
9. Mehrpour O, Jafarzadeh M, Abdollahi M. A systematic review of aluminium phosphide poisoning. Archives of Industrial Hygiene and Toxicology. 2012;63(1):61-73.
10. Mirakbari SM. Hot charcoal vomitus in aluminum phosphide poisoning-A case report of internal thermal reaction in aluminum phosphide poisoning and review of literature. Indian journal of anaesthesia. 2015;59(7):433.
11. Sinha N. Aluminium phosphide poisoning. Indian Journal of Medical Specialities. 2018;9(3):167-70.
12. Mehrpour O, Dolati M, Soltaninejad K, Shadnia S, Nazparvar B. Evaluation of histopathological changes in fatal aluminum phosphide poisoning. Indian Journal of Forensic Medicine &Toxicology. 2008;2(2):34-6.
13. Vaghefi S, Emamhadi M. Aluminium phosphide poisoning: a case report. International Journal of Medical Toxicology and Forensic Medicine. 2014;4(4 (Autumn)):149-53.
- Abstract Viewed: 24 times
- pdf Downloaded: 0 times
- pdf Downloaded: 2 times