A case of severe corrosive esophagitis, gastritis, and liver necrosis caused by ingestion of methyl ethyl ketone peroxide.
- Author:
Jung Oh CHANG
1
;
Jeong Woo CHOI
;
Yong HWANG
Author Information
- Publication Type:Case Report
- Keywords: Methylethyl ketone; Corrosive esophagitis; Corrosive gastritis; Hepatic necrosis
- MeSH: Acidosis; Eating*; Esophagitis*; Gastritis*; Hemorrhage; Humans; Ischemia; Liver*; Middle Aged; Necrosis*; Plastics; Poisoning; Reactive Oxygen Species; Resuscitation
- From: Clinical and Experimental Emergency Medicine 2016;3(4):256-261
- CountryRepublic of Korea
- Language:English
- Abstract: The plastic hardener methyl ethyl ketone peroxide is unstable peroxide that releases free oxygen radicals. Ingestion of this compound induces widespread liver necrosis, severe metabolic acidosis, corrosive esophagitis and gastritis, that is often fatal. A 49-year-old man unintentionally ingested approximately 100 mL (55%) of this compound in solution, which was purchased as plastic hardener. Despite resuscitation, he died about 11 hours after admission. We report a patient with poisoning due to methyl ethyl ketone peroxide who presented with corrosive esophagitis and gastritis, gastrointestinal bleeding, and developed ischemia of the bowel and necrosis of the liver and died of severe metabolic acidosis and multiorgan failure.
