Panceratic Complications of Mustard Gas Exposure: A Study on Cadavers

Background: Sulfur mustard is one of the chemical warfare gases that has been known as a vesicant or blistering agents. It is a chemical alkylating compound agent that can be frequently absorbed through skin, respiratory system, genital tract, and ocular system. This study was done to pathologically analyze the microscopic pancreatic lesions in cadavers. Methods: This case series study was performed during 2007 to 2012 in Legal Medicine Organization. Exposure was confirmed by the written reports of the field hospitals, based on acute presentation of eye, skin and pulmonary symptoms of the exposure. Results: Pancreatic autopsy findings were chronic inflammation, fibrosis and duct ectasia; acinar atrophy was also seen in 4 cases. All 4 cases had chronic pancreatic disease with abdominal pain, steatorrhea and weight loss that was confirmed by sonography. CT scan and Endoscopic Retrograde Cholangio-Pancreatography (ERCP) have also demonstrated the chronic pancreatitis. Conclusion: According to the chronic progressive lesions caused by mustard gas exposure such as pulmonary lesions and also its high mortality rate, suitable programming for protection of the mustard gas exposed people in chemical factories is necessary.