Gastric emphysema after methyl ethyl ketone peroxide ingestion.
A 53-year-old male visited our emergency department after ingesting an unknown amount of methyl ethyl ketone peroxide. At presentation, he was hypotensive with reduced conscious level. Despite resuscitation, he died about 6 h after admission. On simple radiography, it was found that the patient had diffused gastric emphysema. We assumed that the unique radiologic findings were derived from the increased upper gastrointestinal tract pressure that occurred during bag-valve-mask ventilation with the patient having severely damaged gastric mucosa.
Moon
Sung-Woo
SW
Department of Emergency Medicine, College of Medicine, Korea University, Seoul, Korea. yg9912@korea.ac.kr
Lee
Sung-Woo
SW
Choi
Sung-Hyuk
SH
Hong
Yun-Sik
YS
D002074:Butanones / Q000506:poisoning*; D004646:Emphysema / Q000139:chemically induced* / Q000000981:diagnostic imaging; D004798:Enzymes / Q000097:blood; D017809:Fatal Outcome; D006801:Humans; D007442:Intubation, Intratracheal; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012121:Respiration, Artificial / Q000009:adverse effects; D013272:Stomach Diseases / Q000139:chemically induced* / Q000000981:diagnostic imaging; D013406:Suicide, Attempted
D002074:Butanones; D004798:Enzymes; C005222:methylethyl ketone