Clin Exp Emerg Med.  2016 Dec;3(4):256-261. 10.15441/ceem.15.055.

A case of severe corrosive esophagitis, gastritis, and liver necrosis caused by ingestion of methyl ethyl ketone peroxide

• Chang JO
• Choi JW
• Hwang Y

• KMID: 2367494
• DOI: http://doi.org/10.15441/ceem.15.055

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.

Keyword

Methylethyl ketone; Corrosive esophagitis; Corrosive gastritis; Hepatic necrosis

MeSH Terms

Acidosis
Eating*
Esophagitis*
Gastritis*
Hemorrhage
Humans
Ischemia
Liver*
Middle Aged
Necrosis*
Plastics
Poisoning
Reactive Oxygen Species
Resuscitation
Plastics
Reactive Oxygen Species