Sodium-ypochlorite injection in antecubital fossa: A case report and literature review

INTRODUCTION: Caustic cutaneous injections are rare and may result in challenging soft tissue defects necessitating urgent surgical reconstruction to preserve vital structures. We report a unique case of self-inflicted sodium hypochlorite injection to the left antecubital fossa as a suicidal attempt, which resulted in an exposed median nerve and brachial artery. The adventitia of the brachial artery was injured in this case; hence, the risk of an arterial blowout was considerable. After thorough debridement, the defect was reconstructed successfully with a reverse lateral arm flap. CONCLUSION: Household bleach (sodium hypochlorite) injections are rare and may result in challenging soft tissue defects necessitating urgent surgical reconstruction to preserve vital structures.