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KMID : 1037620230100010036
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Pediatric Emergency Medicine Journal
2023 Volume.10 No. 1 p.36 ~ p.40
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A case of esophageal perforation caused by suicidal caffeine poisoning in a teenager
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Kim So-Jin
Choi Young-Jin
Lee Kyung-Suk
Jang Hyo-Jun
Moon Jin-Hwa
Kim Yong-Joo
Yang Seung
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Abstract
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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.
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KEYWORD
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Adolescent, Caffeine, Drug-Related Side Effects and Adverse Reactions, Esophageal Perforation, Poisoning, Spontaneous Perforation, Suicide, Attempted
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