Extensive multi-organ necrosis secondary to sulfuric acid ingestion.

This is a report of a case in which a significant quantity of sulfuric acid was ingested, causing life threatening respiratory distress, secondary to glottic injury and edema, and cardiovascular collapse. Vigorous resuscitive efforts allowed survival through the first 48 hours and two major operations. Persistent and complex surgical management eventually restored oropharyngeal competence and gastrointestinal integrity. Survival of a child from such an overwhelming injury has not been previously reported.