@article{ref1,
title="A case of esophageal perforation caused by suicidal caffeine poisoning in a teenager",
journal="Pediatric emergency medicine journal",
year="2023",
author="Kim, So-Jin and Choi, Young-jin and Lee, Kyung-Suk and Jang, Hyo-Jun and Moon, Jin-Hwa and Kim, Yong-Joo and Yang, Seung",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Spontaneous esophageal perforation (also known as Boerhaave syndrome) is associated with sudden increase in intra-esophageal pressure by vomiting, coughing or straining at stool. This case describes a 13-year-old girl who developed the perforation after consuming 270 mg/kg of caffeine tablets for a suicide attempt. Presumably, the perforation was caused primarily by caffeine-induced severe vomiting, and secondarily by caffeine-induced gastric acid secretion with smooth muscle relaxation and by the large amount of caffeine-induced sudden increase in intra-esophageal pressure.<p /> <p>Language: ko</p>",
language="ko",
issn="2383-4897",
doi="10.22470/pemj.2022.00591",
url="http://dx.doi.org/10.22470/pemj.2022.00591"
}