Clin Exp Emerg Med.  2016 Jun;3(2):109-111. 10.15441/ceem.15.023.

Upper airway obstruction resulting from acute mucosal injury induced by direct ingestion of sodium picosulfate/magnesium citrate powder

Affiliations
  • 1Department of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. tackles@naver.com

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.

Keyword

Caustics; Cathartics; Colonoscopy; Picosulfate sodium

MeSH Terms

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
Cathartics
Caustics
Citric Acid
Sodium
Water
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