COMPLETE GASTRIC OUTLET OBSTRUCTION FOLLOWING ACID INGESTION COMPLICATED BY ACUTE-PANCREATITIS AND DISSEMINATED INTRAVASCULAR COAGULATION

A case is described where accidental acid ingestion resulted in the de velopment of oesophageal stricture and complete gastric outlet obstruc tion. Following a smoothly conducted pre-surgery endoscopic examinatio n the patient developed acute pancreatitis, which, on initial clinical examination, was diagnosed as a viscus perforation, The severity of p ancreatitis was such as to lead to disseminated intravascular coagulop athy and ultimately death. The interest lies in the fact that pancreat itis was precipitated in a previously traumatised stomach by such an i nnocuous procedure as fibre-optic endoscopy.