Endoscopic treatment of pharmacobezoar caused by slow-release clomipramine and quetiapine overdose

doi:N/A

eISSN: None / ISSN: None

Netharland Journal of Critical Care

2021, Volume 29, Issue 4 : 188-190

Article

Endoscopic treatment of pharmacobezoar caused by slow-release clomipramine and quetiapine overdose

Hiel S.J.P.

Osinski A.

Kamphuis J.T.

Abstract

A pharmacobezoar is a rare entity characterised by an accumulation of undigested pills in the gastrointestinal tract. It is often induced by massive drug consumption, especially slow-release tablets. We describe an 18-year-old female with a pharmacobezoar after taking an overdose of slow-release clomipramine and slow-release quetiapine. Because of a decline in her level of consciousness, she was intubated. As standard treatment with activated charcoal, gastric lavage and laxatives was insufficiently effective, it was decided to remove the tablets endoscopically. The patient did not have any post-procedural complications and showed a full recovery. Endoscopic removal of a pharmacobezoar should be considered in case of severe intoxication. © 2021, Netherlands Society of Intensive Care. All rights reserved.

Keywords

Endoscopy

Intoxication

Pharmacobezoar

Slow-release clomipramine

License

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