clinitest and Stomach-Ulcer

The accidental or intentional ingestion of urine sugar reagent (Clinitest) tablets, a potent caustic, has been reported to cause severe esophageal mucosal damage and stricture formation. Gastric mucosal damage was reported once before in a man who intentionally ingested 26 Clinitest tablets. We encountered a case of accidental Clinitest tablet ingestion causing gastric and duodenal ulceration without esophageal damage, a previously undescribed complication of inadvertent Clinitest tablet ingestion. Our case reemphasizes the role of early fiberoptic endoscopy in the evaluation of caustic ingestions.

Topics: Accidents; Citrates; Citric Acid; Copper Sulfate; Diabetes Complications; Drug Combinations; Duodenal Ulcer; Duodenoscopy; Gastroscopy; Humans; Indicators and Reagents; Male; Middle Aged; Sodium Bicarbonate; Stomach Ulcer