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- N P Singh and J G Rizk.
- Department of Otolaryngology, Guy's Hospital and King's College, London. singhn@bigpond.com
- J Laryngol Otol. 2008 Aug 1; 122 (8): 864-6.
ObjectiveWe present a rare case of oesophageal perforation following ingestion of over-the-counter ibuprofen capsules.MethodCase report and literature review of pill oesophagitis.Case ReportA previously well, 18-year-old man presented with sudden onset, severe, retrosternal pain, dysphagia and odynophagia following ingestion of over-the-counter ibuprofen capsules. Plain X-ray films and a contrast-enhanced computed tomography scan indicated the diagnosis. The patient was successfully treated with non-operative management.ConclusionTo our knowledge, this is the first report in the world literature concerning oesophageal perforation with ibuprofen. We discuss pill-induced oesophageal injury and its prevention. Manufacturers, clinicians and patients can all take steps to avoid this potentially life-threatening complication.
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