RT Journal Article
SR Electronic
T1 Diagnostic radiopacity and hepatotoxicity following chloroform ingestion: a case report
JF Emergency Medicine Journal
JO Emerg Med J
FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine
SP 394
OP 395
DO 10.1136/emj.2005.027466
VO 23
IS 5
A1 Choi, S H
A1 Lee, S W
A1 Hong, Y S
A1 Kim, S J
A1 Moon, S W
A1 Moon, J D
YR 2006
UL http://emj.bmj.com/content/23/5/394.abstract
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.