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<p>Corrosive ingestion in pregnancy is an uncommon yet critical emergency that poses unique therapeutic and ethical challenges due to maternal–fetal risks and limited literature. We report a case of a 34-year-old, 30-week gravida who developed severe upper gastrointestinal injury following accidental toilet cleaner ingestion. Nutritional management with total parenteral nutrition (TPN) was complicated by hepatotoxicity, necessitating conversion to feeding jejunostomy (FJ). Subsequently, wound dehiscence with burst abdomen developed, managed successfully with temporary Bogota bag closure and broad-spectrum antibiotics. Intensive multidisciplinary care, serial fetal monitoring, and tailored nutritional management resulted in successful continuation of pregnancy to term, culminating in elective caesarean delivery of a healthy neonate. This case highlights the importance of individualized, multidisciplinary approach to optimize both maternal and fetal outcomes in such rare, high-risk situations.</p>

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Managing Corrosive Injury Complicated by Burst Abdomen During Pregnancy: A Rare Coexistence

  • 期刊论文

  • 发表日期：

    2026年4月18日

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  • Juhi Bharti,
  • Soni Bharti,
  • Seema Singhal,
  • Richa Vatsa,
  • Rajesh Panwar,
  • Pragya Shukla,
  • Neena Malhotra

摘要

Corrosive ingestion in pregnancy is an uncommon yet critical emergency that poses unique therapeutic and ethical challenges due to maternal–fetal risks and limited literature. We report a case of a 34-year-old, 30-week gravida who developed severe upper gastrointestinal injury following accidental toilet cleaner ingestion. Nutritional management with total parenteral nutrition (TPN) was complicated by hepatotoxicity, necessitating conversion to feeding jejunostomy (FJ). Subsequently, wound dehiscence with burst abdomen developed, managed successfully with temporary Bogota bag closure and broad-spectrum antibiotics. Intensive multidisciplinary care, serial fetal monitoring, and tailored nutritional management resulted in successful continuation of pregnancy to term, culminating in elective caesarean delivery of a healthy neonate. This case highlights the importance of individualized, multidisciplinary approach to optimize both maternal and fetal outcomes in such rare, high-risk situations.