Case Report: Delayed gastrointestinal structural complications requiring surgery following massive paint thinner ingestion in an adult

This case demonstrates that massive oral paint thinner ingestion can bypass typical protective mechanisms, leading to severe, delayed, and localized structural GI failure, particularly in the terminal ileum. In patients who present with progressive mechanical sequelae (refractory ileus and hematochezia) following massive hydrocarbon ingestion, a high index of suspicion for developing chronic structural lesions is warranted, suggesting that timely surgical intervention may be critical to expedite patient recovery.