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Endoscopic management of massive mercury ingestion: A case report.

Abstract Ingestion of a massive amount of metallic mercury was thought to be harmless until the last century. After that, in a number of cases, mercury ingestion has been associated with appendicitis, impaired liver function, memory deficits, aspiration leading to pneumonitis and acute renal failure. Treatment includes gastric lavage, giving laxatives and chelating agents, but rapid removal of metallic mercury with gastroscopy has not been used.
PMID
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Authors

Mayor MeshTerms

Gastroscopy

Keywords
Journal Title medicine
Publication Year Start




PMID- 28562544
OWN - NLM
STAT- MEDLINE
DA  - 20170531
DCOM- 20170626
LR  - 20170626
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 22
DP  - 2017 Jun
TI  - Endoscopic management of massive mercury ingestion: A case report.
PG  - e6937
LID - 10.1097/MD.0000000000006937 [doi]
AB  - RATIONALE: Ingestion of a massive amount of metallic mercury was thought to be
      harmless until the last century. After that, in a number of cases, mercury
      ingestion has been associated with appendicitis, impaired liver function, memory 
      deficits, aspiration leading to pneumonitis and acute renal failure. Treatment
      includes gastric lavage, giving laxatives and chelating agents, but rapid removal
      of metallic mercury with gastroscopy has not been used. PATIENT CONCERNS: An
      18-year-old man was admitted to our emergency department after drinking 1000 g of
      metallic mercury as a suicide attempt. DIAGNOSIS: Except from mild umbilical
      tenderness, he had no other symptoms. Radiography showed a metallic density in
      the area of the stomach. INTERVENTION: Gastroscopy was performed to remove the
      mercury. One large pool and several small droplets of mercury were removed from
      the stomach. OUTCOMES: Blood and urine mercury levels of the patient remained low
      during hospitalization. No symptoms of mercury intoxication developed during the 
      follow-up period. LESSONS: Massive mercury ingestion may cause several symptoms, 
      which can be prevented with prompt treatment. We used endoscopy to remove the
      mercury, which shortened the exposure time and minimized the risk of aspiration. 
      This is the first case where endoscopy was used for the management of mercury
      ingestion.
FAU - Zag, Levente
AU  - Zag L
AD  - aEmergency Department bDepartment of Gastroenterology, Bacs-Kiskun County
      Hospital and Teaching Hospital of University of Szeged, Kecskemet, Hungary.
FAU - Berkes, Gabor
AU  - Berkes G
FAU - Takacs, Irma F
AU  - Takacs IF
FAU - Szepes, Attila
AU  - Szepes A
FAU - Szabo, Istvan
AU  - Szabo I
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Adolescent
MH  - *Gastroscopy
MH  - Humans
MH  - Male
MH  - Mercury Poisoning/blood/etiology/*therapy/urine
MH  - Stomach/diagnostic imaging
MH  - Suicide, Attempted
PMC - PMC5459709
EDAT- 2017/06/01 06:00
MHDA- 2017/06/27 06:00
CRDT- 2017/06/01 06:00
AID - 10.1097/MD.0000000000006937 [doi]
AID - 00005792-201706020-00020 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Jun;96(22):e6937. doi: 10.1097/MD.0000000000006937.