Upper airway obstruction resulting from acute mucosal injury induced by direct ingestion of sodium picosulfate/magnesium citrate powder.
- Author:
Gyeong Bo KIM
1
;
Sung Yeon HWANG
;
Tae Gun SHIN
;
Tae Rim LEE
;
Won Chul CHA
;
Min Seob SIM
;
Ik Joon JO
;
Keun Jeong SONG
;
Joong Eui RHEE
;
Yeon Kwon JEONG
Author Information
- Publication Type:Case Report
- Keywords: Caustics; Cathartics; Colonoscopy; Picosulfate sodium
- MeSH: Airway Obstruction*; Cathartics; Caustics; Citric Acid*; Colonoscopy; Constriction, Pathologic; Deglutition; Eating*; Emergency Service, Hospital; Epiglottis; Humans; Intensive Care Units; Intubation, Intratracheal; Middle Aged; Mouth; Pharyngitis; Pharynx; Sodium*; Tracheostomy; Water
- From: Clinical and Experimental Emergency Medicine 2016;3(2):109-111
- CountryRepublic of Korea
- Language:English
- Abstract: 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.
