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KMID : 1100620160030020109
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Clinical and Experimental Emergency Medicine
2016 Volume.3 No. 2 p.109 ~ p.111
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Upper airway obstruction resulting from acute mucosal injury induced by direct ingestion of sodium picosulfate/magnesium citrate powder
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Kim Gyeong-Bo
Hwang Sung-Yeon
Shin Tae-Gun
Lee Tae-Rim
Cha Won-Chul
Sim Min-Seob
Jo Ik-Joon
Song Keun-Jeong
Rhee Joong-Eui
Jeong Yeon-Kwon
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Abstract
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A 59-year-old man presented to the emergency department with a chief complaint of sore throat after swallowing sodium picosulfate/magnesium citrate powder for bowel preparation, without first dissolving it in water. The initial evaluation showed significant mucosal injury involving the oral cavity, pharynx, and epiglottis. Endotracheal intubation was performed for airway protection in the emergency department, because the mucosal swelling resulted in upper airway compromise. After conservative treatment in the intensive care unit, he underwent tracheostomy because stenosis of the supraglottic and subglottic areas was not relieved. The tracheostomy tube was successfully removed after confirming recovery, and he was discharged 3 weeks after admission.
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KEYWORD
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Caustics, Cathartics, Colonoscopy, Picosulfate sodium
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