PT  - JOURNAL ARTICLE
AU  - S H Choi
AU  - S W Lee
AU  - Y S Hong
AU  - S J Kim
AU  - S W Moon
AU  - J D Moon
TI  - Diagnostic radiopacity and hepatotoxicity following chloroform ingestion: a case report
AID  - 10.1136/emj.2005.027466
DP  - 2006 May 01
TA  - Emergency Medicine Journal
PG  - 394--395
VI  - 23
IP  - 5
4099  - http://emj.bmj.com/content/23/5/394.short
4100  - http://emj.bmj.com/content/23/5/394.full
SO  - Emerg Med J2006 May 01; 23
AB  - Background: Diagostic imaging can help in the management of toxicologic emergencies. The authors report on a patient who presented to the emergency department with coma and suppressed respirations after ingestion of an unknown substance. Methods: Ingestion of chloroform with radiopaque material in the bowel on abdominal radiograph was documented. The patient was treated with haemoperfusion, activated charcoal, and laxatives to decrease the toxicities. Results: Hepatotoxicity occurred on post-ingestion day 3 and elevation of liver enzymes reached peak levels on post-ingestion day 5. The patient received N-acetylsystein and supportive care during hospitalisation. The patient improved from hepatic dysfunction and was discharged without complication on post-ingestion day 11. Conclusion: Radiographic studies in toxicology may confirm a diagnosis and assist in therapeutic intervention.