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Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
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2023, Number 09

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Ginecol Obstet Mex 2023; 91 (09)

Genital burn by chemical product: case report

Castro AFJ, González QP, Murillo LJ, Magaña OD, Magaña GJA, Cháidez FYL, Peña GGM, Cervin BMS, Barajas OMF, Favela HCE, Morgan OF
Full text How to cite this article

Language: Spanish
References: 8
Page: 706-710
PDF size: 219.80 Kb.


Key words:

Burn, Chemical burn, Vulva, Vagina, Alum, Ketanserin, Miconazole, Metronidazole.

ABSTRACT

Background: Burns are the most severe form of stress that the body can suffer; they can be caused by various thermal and chemical agents.
Clinical case: A 25-year-old female patient presented with severe genital pain of 12 hours' duration, secondary to the introduction of an alum stone into the vagina. She underwent several irrigations with 0.9% saline without obtaining the rest of the alum stone. She was given vaginal silver sulfadiazine every 12 hours, vaginal ketanserin, miconazole and metronidazole every 8 hours and oral ketorolac 10 mg every 8 hours. During her stay in hospital, she progressed well, with a decrease in genital inflammation and adequate epithelialisation. She was discharged on the third day with an appointment for a seven-day follow-up.
Conclusion: The management of genital burns caused by chemical agents is based on the identification of the agent causing the lesion, which allows immediate action and prevents physical, sexual and psychological sequelae by thorough washing with sterile solution or water to remove the causative agent and reduce its continued action in the affected area.


REFERENCES

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  2. Kaushik, S, Bird S. Topical chemical burns: initial assesmentand management. UpToDate 2021. https://www.uptodate.com/contents/topical-chemical-burns-initial-assessmentand-management

  3. Iribarren BO, González GC. Quemaduras por agentes químicos.Cuadernos de Cirugía 2001; 15(1), 61-69. https://doi.org/10.4206/cuad.cir.2001.v15n1-12

  4. Zapata Sirvent RL, Jiménez Castillo CJ, Besso J, editores.Quemaduras. Tratamiento crítico y quirúrgico. Actualización2005. Caracas: Editorial Ateproca;2005. p.1-6.

  5. Hall AH, Mathieu L, Maibach H. Acute chemical skin injuriesin the United States: a review. Crit Rev Toxicol 2018; 48/7):540-554. https://doi.org/10.1080/10408444.2018.1493085

  6. Ferreira AL, Ferreira JM, da Silva PM, Constancio DF. Genitaliaburn: accident or violence? Concerns that transcendinjury treatment. Rev Paul Pediatr 2014; 32 (2): 286-90.https://doi.org/10.1590/0103-0582201432213713

  7. Brent J. Water-based solutions are the best decontaminatingfluids for dermal corrosive exposures: A mini review.Clin Toxicol (Phila) 2013; 51 (8): 731-6. https://doi.org/10.3109/15563650.2013.838628

  8. Fortin JL, Fonatine M, Bodson L, Depil Duvala A, Bitar MP,Macher JM et al. Use of an amphoteric solution in eye, skin,and oral chemical exposures: retrospective multicenterclinical case series. J Clin Toxicol 2017; 7:2.




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Ginecol Obstet Mex. 2023;91