A case of esophageal perforation caused by suicidal caffeine poisoning in a teenager

Autor: So Jin Kim, Young-jin Choi, Kyung Suk Lee, Hyo Jun Jang, Jin-Hwa Moon, Yong Joo Kim, Seung Yang
Jazyk: English<br />Korean
Rok vydání: 2023
Předmět:
Zdroj: Pediatric Emergency Medicine Journal, Vol 10, Iss 1, Pp 36-40 (2023)
Druh dokumentu: article
ISSN: 2383-4897
2508-5506
DOI: 10.22470/pemj.2022.00591
Popis: Spontaneous esophageal perforation (also known as Boerhaave syndrome) is associated with sudden increase in intra-esophageal pressure by vomiting, coughing or straining at stool. This case describes a 13-year-old girl who developed the perforation after consuming 270 mg/kg of caffeine tablets for a suicide attempt. Presumably, the perforation was caused primarily by caffeine-induced severe vomiting, and secondarily by caffeine-induced gastric acid secretion with smooth muscle relaxation and by the large amount of caffeine-induced sudden increase in intra-esophageal pressure.
Databáze: Directory of Open Access Journals