Oesophageal perforation following ingestion of over-the-counter ibuprofen capsules.
OBJECTIVE
We present a rare case of oesophageal perforation following ingestion of over-the-counter ibuprofen capsules.


METHODS
Case report and literature review of pill oesophagitis.


METHODS
A previously well, 18-year-old man presented with sudden onset, severe, retrosternal pain, dysphagia and odynophagia following ingestion of over-the-counter ibuprofen capsules. Plain X-ray films and a contrast-enhanced computed tomography scan indicated the diagnosis. The patient was successfully treated with non-operative management.


CONCLUSIONS
To our knowledge, this is the first report in the world literature concerning oesophageal perforation with ibuprofen. We discuss pill-induced oesophageal injury and its prevention. Manufacturers, clinicians and patients can all take steps to avoid this potentially life-threatening complication.
Singh
N P
NP
Department of Otolaryngology, Guy's Hospital and King's College, London. singhn@bigpond.com
Rizk
J G
JG
D000293:Adolescent; D018712:Analgesics, Non-Narcotic / Q000009:adverse effects*; D002214:Capsules; D004939:Esophageal Perforation / Q000139:chemically induced* / Q000000981:diagnostic imaging; D004947:Esophagus / Q000000981:diagnostic imaging; D006801:Humans; D007052:Ibuprofen / Q000009:adverse effects*; D008297:Male; D004366:Nonprescription Drugs / Q000009:adverse effects; D011859:Radiography
D018712:Analgesics, Non-Narcotic; D002214:Capsules; D004366:Nonprescription Drugs; D007052:Ibuprofen