Bowel perforation secondary to local tissue injury from intentional iron overdose

Kevin J. Goodwin, Jule Muegge, Daniel A Saltzman, Robert D Acton, Donavon J Hess

Research output: Contribution to journalArticle

Abstract

We report the case of a 16-year-old who presented after intentional ingestion of elemental iron (approximately 48 mg/kg). Iron levels at presentation were 4388 mcg/dl. The patient demonstrated symptoms of severe toxicity including hypotension, metabolic acidosis, and multiple organ failure. Fourteen days after ingestion, the patient suffered multiple punctate bowel perforations that were not related to ischemia and appeared to have been the result of local tissue injury from ingested iron. The bowel was successfully primarily repaired. However, the patient eventually succumbed due to the severity of multisystem organ failure and a systemic fungal infection. We report this case to highlight the risk of local tissue trauma from ingested iron, resulting in bowel perforation. This case highlights the need to eliminate ingested iron to limit systemic absorption and to prevent local tissue trauma and bowel perforation.

Original languageEnglish (US)
Article number101301
JournalJournal of Pediatric Surgery Case Reports
Volume50
DOIs
StatePublished - Nov 1 2019

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Iron
Wounds and Injuries
Eating
Multiple Organ Failure
Mycoses
Acidosis
Hypotension
Ischemia

Keywords

  • Bowel perforation
  • Iron poisoning

Cite this

Bowel perforation secondary to local tissue injury from intentional iron overdose. / Goodwin, Kevin J.; Muegge, Jule; Saltzman, Daniel A; Acton, Robert D; Hess, Donavon J.

In: Journal of Pediatric Surgery Case Reports, Vol. 50, 101301, 01.11.2019.

Research output: Contribution to journalArticle

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