Bowel perforation secondary to local tissue injury from intentional iron overdose

• Main Authors: Kevin J. Goodwin (Author), Jule Muegge (Author), Daniel A. Saltzman (Author), Robert D. Acton (Author), Donavon J. Hess (Author)
• Format: Book
• Published: Elsevier, 2019-11-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

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...