Journal of The Korean Society of Clinical Toxicology (대한임상독성학회지)

Korean society of Clincal Toxicology (대한임상독성학회)
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Diagnostic Radioopacity in Chloroform Ingestion -A Case Report-

방사선 비투과성 클로로포름 음독 1례

  • Lee Sung Woo (Department of Emergency Medicine, College of Medicine, Korea University) ;
  • Choi Sung Hyuk (Department of Emergency Medicine, College of Medicine, Korea University) ;
  • Hong Yun Sik (Department of Emergency Medicine, College of Medicine, Korea University) ;
  • Kim Su Jin (Department of Emergency Medicine, College of Medicine, Korea University) ;
  • Moon Sung Woo (Department of Emergency Medicine, College of Medicine, Korea University) ;
  • Moon Jun Dong (Department of Emergency Medicine, College of Medicine, Korea University) ;
  • Jung Sang Hyun (Department of Emergency Medicine, College of Medicine, Korea University) ;
  • Park Jong Su (Department of Emergency Medicine, College of Medicine, Korea University)
  • 이성우 (고려대학교 의과대학 응급의학교실) ;
  • 최성혁 (고려대학교 의과대학 응급의학교실) ;
  • 홍윤식 (고려대학교 의과대학 응급의학교실) ;
  • 김수진 (고려대학교 의과대학 응급의학교실) ;
  • 문성우 (고려대학교 의과대학 응급의학교실) ;
  • 문준동 (고려대학교 의과대학 응급의학교실) ;
  • 정상헌 (고려대학교 의과대학 응급의학교실) ;
  • 박종수 (고려대학교 의과대학 응급의학교실)
  • Published : 2005.06.01
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Abstract

Diagostic imaging can help in management of toxicologic emergencies. We report a patient who presented to the emergency department with coma and suppressed respiration after ingestion of unknown substance. We documented chloroform with radiopaque material in bowel on abdominal radiograph. We used activated charcoal and laxative to decontaminate bowel. Hepatotoxicity occurred on 3rd admission day and elevation of liver enzyme reached peak level on 5th admission day. The patient received hemoperfusion, N-acetylsystein and supportive cares. The patient was improved from hepatic dysfunction and discharged without complication on 11th admission day. Radiograph in toxicology may confirm a diagnosis and assist in therapeutic intervention.

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