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Intensive Care Medicine
Published in: Intensive Care Medicine 7/2013

01-07-2013 | Imaging in Intensive Care Medicine

Slow-release clomipramine acute poisoning with radio-opaque gastric bezoar

Authors: R. Attou, P. Reper

Published in: Intensive Care Medicine | Issue 7/2013

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Excerpt

A 48-year-old woman with depression was intubated on admission to the intensive care unit for deep coma of unknown origin. Post-intubation chest X-ray showed the intragastric presence of a radio-opaque pharmacobezoar with 22 tablets (Fig. 1). Toxicology screening results and information from the family confirmed a witnessed intake of a slow-release preparation of clomipramine (Anafranil-Retard 75 mg, depot tablets) 12 h before admission. …
Literature
1.
Lapostolle F, Finot MA, Adnet F, Borron SW, Baud FJ, Bismuth C (2000) Radiopacity of clomipramine conglomerations and unsuccessful endoscopy: report of 4 cases. J Toxicol Clin Toxicol 38:477–482PubMedCrossRef
2.
Höjer J, Personne M (2008) Endoscopic removal of slow release clomipramine bezoars in two cases of acute poisoning. Clin Toxicol (Phila) 46(4):317–319CrossRef
Metadata
Title
Slow-release clomipramine acute poisoning with radio-opaque gastric bezoar
Authors
R. Attou
P. Reper
Publication date
01-07-2013
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 7/2013
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-013-2925-9

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