Black stomach in a 13 years old Ethiopian child

  • Hailemichael Desalegn Mekonnen St. paul's Hospital Millenium Medical College
  • Wossen Tefera St. Paul's Hospital Millenium Medical College


A 13 years old boy developed shock secondary to upper gastrointestinal bleeding.He developed  cardiac arrest & survived after CPR. After stabilization, gastrointestinal endoscopy performed. It revealed a black stomach, which is a very rare appearance. He was managed at ICU. After stabilized, he discloses that he took household bleach. Approach depends on the type of injurious agent and endoscopic grading. Hence, we present the case with a review of literatures.

Key words: black stomach, endoscopy, caustic injury, Ethiopia



Watson WA, Litovitz TL, Rodgers GC, Klein-Schwartz W, Reid N, Youniss J, et al. 2004 Annual report of the American Association of Poison Control Centers Toxic Exposure Surveillance System. Am J Emerg Med. 2005;23:589-666.

WHO. Death and DALY Estimates for 2004 by Cause for Countries: Persons, All Ages by Country. 2009.

M. Desalew, A. Aklilu, A. Amanuel, M. Addisu.“Pattern of acute adult poisoning at Tikur Anbessa specialized teaching hospital, a retrospective study, Ethiopia,” Human & Experimental Toxicology. 2011. 30 (7) : 523–527

Aronson JK. Sodium hypochlorite and hypochlorous acid. In: Aronson JK, ed. Meyler's Side Effects of Drugs. 16th ed. Waltham, MA: Elsevier; 2016:418-420.

Zargar SA, Kochlar R, Nagi B, et al. Ingestion of corrosive alkalis. Spectrum of injury to upper gastrointestinal tract and natural history. Am J Gastroenterol 1992; 87:337-41.

Lovejoy FH, Woolf AD. Corrosive ingestions. Pediatr Rev 1995; 16:473-4.

Cello JP, Fogel RP, Boland R. Liquid caustic ingestion spectrum of injury. Arch Intern Med 1980; 140:501-4.

Gumaste VV, Dave PB. Ingestion of corrosive substances by adults. Am J Gastroenterol 1992; 87:1-5.

Kikendall JW. Caustic ingestion injuries. Gastroenterol Clin North Am 1991; 20:847-57.

Tagwireyi D. Chingombe P. Khoza S, Maredza M. Pattern and Epidemiology of Poisoning in the East African Region: A Literature Review: Journal of Toxicology. (2016),

Chen KC, Hsiao CH. Tracheal perforation in esophageal corrosive injury. Ann Thorac Surg. 2013;96(5):1879

Javed A, Yanger N, Agarwal AK. Liver necrosis following corrosive ingestion. Indian J Gastroenterol. 2014;33(1):77-78.

Poley JW, Steyerberg EW, Kuipers EJ, et al. Ingestion of acid and alkaline agents: Outcome and prognostic value of early upper endoscopy. Gastrointest Endosc 2004; 60:372-7.

Zhou JH, Jiang YG, Wang RW, et al. Management of corrosive esophageal burns in 149 cases. J Thorac Cardiovasc Surg 2005; 130:449-55.