J Korean Soc Clin Toxicol.  2018 Dec;16(2):161-164. 10.22537/jksct.2018.16.2.161.

CT Findings of Perforation of the Stomach after Ingestion of Glacial Acetic Acid

  • 1Department of Trauma Surgery and Acute Care Surgery, Pusan National University Hospital, Busan, Korea.
  • 2Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.
  • 3Department of Emergency Medicine, Pusan National University, School of Medicine, Yangsan, Korea. seokrany@pusan.ac.kr
  • 4Department of Emergency Medicine, Pusan National University Hospital, Busan, Korea.


The ingestion of corrosive substances often leads to severe morbidity and mortality. Acids produce coagulation necrosis with a lesser degree of penetration, whereas alkalis produce liquefactive necrosis with penetration. Acetic acid is a clear, colorless organic acid with a pungent, vinegar-like odor. The ingestion of highly concentrated acetic acid (glacial acetic acid) may cause a range of complications. On the other hand, perforation of the stomach is extremely rare but it has a high mortality rate. This paper reports a case of perforation of the stomach after the ingestion of glacial acetic acid with suicidal intent in an otherwise healthy 76-year-old woman.


Acetic acid; Ingestion; Gastric perforation
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