TY - JOUR PY - 2023// TI - A case of esophageal perforation caused by suicidal caffeine poisoning in a teenager JO - Pediatric emergency medicine journal A1 - Kim, So-Jin A1 - Choi, Young-jin A1 - Lee, Kyung-Suk A1 - Jang, Hyo-Jun A1 - Moon, Jin-Hwa A1 - Kim, Yong-Joo A1 - Yang, Seung SP - ePub EP - ePub VL - ePub IS - ePub N2 - 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.

Language: ko

LA - ko SN - 2383-4897 UR - http://dx.doi.org/10.22470/pemj.2022.00591 ID - ref1 ER -