Massive small intestinal haemorrhage caused by concentrated vinegar drinking: case report

Introduction: Ingestion of concentrated acidic solutions typically causes coagulation type necrosis, bleeding and perforation in the upper gastrointestinal tract. Severe small intestinal bleeding with haemodinamic instability in an unusual complication. Case report: The 51 years old heavy drinker male patient was admitted to our subintensive care unit with melaena, hypotension and epigastric pain 7 days after he ingested 100ml concentrated vinegar solution by a mistake. After haemodinamic stabilization emergency upper endoscopy was performed showing Los Angeles D grade reflux oesophagitis, Mallory Weiss tear and…