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Gavala A, Manou D, Psalida V, et al. Methadone Gastrobezoar in a Psychiatric Patient Presented in Coma. Indian J Crit Care Med. 2017;21(11):796-798doi: 10.4103/ijccm.IJCCM_17_17.
Gavala, A., Manou, D., Psalida, V., Nystatzaki, M., Mavrogiannis, C., Alevizopoulos, G., & Myrianthefs, P. (2017). Methadone Gastrobezoar in a Psychiatric Patient Presented in Coma. Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 21(11), 796-798. https://doi.org/10.4103/ijccm.IJCCM_17_17
Gavala, Alexandra, et al. "Methadone Gastrobezoar in a Psychiatric Patient Presented in Coma." Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine vol. 21,11 (2017): 796-798. doi: https://doi.org/10.4103/ijccm.IJCCM_17_17
Gavala A, Manou D, Psalida V, Nystatzaki M, Mavrogiannis C, Alevizopoulos G, Myrianthefs P. Methadone Gastrobezoar in a Psychiatric Patient Presented in Coma. Indian J Crit Care Med. 2017 Nov;21(11):796-798. doi: 10.4103/ijccm.IJCCM_17_17. PMID: 29279645; PMCID: PMC5699012.
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Indian J Crit Care Med. 2017 Nov;21(11):796-798. doi: 10.4103/ijccm.IJCCM_17_17.

Methadone Gastrobezoar in a Psychiatric Patient Presented in Coma.

Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine

Alexandra Gavala, Despoina Manou, Vasiliki Psalida, Maria Nystatzaki, Christos Mavrogiannis, George Alevizopoulos, Pavlos Myrianthefs

Affiliations

  1. Department of Intensive Care Unit, Kaliftaki, 14564, Nea Kifissia, Greece.
  2. Department of Gastrenterology, Kaliftaki, 14564, Nea Kifissia, Greece.
  3. Department of Psychiatry at "Agioi Anargyroi" General Hospital, Kaliftaki, 14564, Nea Kifissia, Greece.
  4. Faculty of Nursing, School of Health Sciences, National and Kapodistrian University of Athens, Greece.

PMID: 29279645 PMCID: PMC5699012 DOI: 10.4103/ijccm.IJCCM_17_17

Abstract

A 43-year-old psychiatric patient was transferred in coma and hypercapnic respiratory failure at the emergency department. He was intubated for airway protection and transferred to the Intensive Care Unit (ICU). Abdominal X-ray revealed a radiopaque mass; a pharmacobezoar was suspected and confirmed by gastroscopy; one large in the stomach fundus and a smaller one in the pylorus. Gastric lavage through the gastroscope and administration of gastro-kinetic drugs and laxatives were able to dilute the bezoars. Tablets retrieved from the stomach identified as methadone and toxicological tests of the gastric fluid confirmed the presence of methadone as the only organic chemical compound. The patient was extubated on the 7

Keywords: Acute care; gastroscopy; intoxication; methadone; pharmacobezoar

Conflict of interest statement

There are no conflicts of interest.

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