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Journal Article

Citation

Wang J, Kan B, Jian X, Wu X, Yu G, Sun J. Exp. Ther. Med. 2016; 11(1): 208-212.

Copyright

(Copyright © 2016, Spandidos Publications)

DOI

10.3892/etm.2015.2874

PMID

unavailable

Abstract

This study reports the case of a 44-year-old woman with oral oxalic acid poisoning. As the illness progressed, the patient exhibited severe metabolic acidosis, large‑area esophageal mucosa injury and acute kidney injury, which required dialysis. A guide wire slipped out of position during the process of hemodialysis and moved back and forth in the veins, but was removed successfully by interventional endovascular treatment. However, the patient's esophageal mucosa exfoliated, which lead to severe benign esophageal stenosis and dysphagia. Balloon distention was conducted twice in the upper digestive tract using X‑ray location in combination with a dumb‑bell bladder and interventional wire. The patient exhibited convulsions, shock, embolism and loss of consciousness while undergoing the second balloon distention procedure. Following symptomatic treatment, the patient eventually remained in a stable condition, the digestive tract expansion procedure was not resumed and a jejunostomy was performed in order to facilitate enteral nutrition, which was administered via the jejunum and had little stimulatory effect on the pancreas. Following various treatments, the patient's condition improved markedly, with renal function returning to normal. © 2016, Spandidos Publications. All rights reserved.


Language: en

Keywords

adult; human; suicide; female; case report; abdominal pain; hemodialysis; intoxication; vomiting; human tissue; nuclear magnetic resonance imaging; computer assisted tomography; dysphagia; acute kidney failure; oxalic acid; erythrocyte sedimentation rate; alanine aminotransferase; aspartate aminotransferase; creatinine; potassium; metabolic acidosis; histopathology; methylprednisolone; pneumonia; immune response; urea nitrogen blood level; oxygen saturation; Article; consciousness disorder; esophagus stenosis; esophagus disease; jejunostomy; breathing rate; cell infiltration; Acute oxalic acid poisoning; balloon catheterization; Digestive tract expansion; esophageal mucosa exfoliation; Esophageal mucosa injury; Interventional therapy

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