A case report of acute bromovaleryl urea intoxication diagnosed by high density substance in the stomach on a CT scan

DOI 2 Citations 5 References Open Access
  • Sagishima Katsuyuki
    Department of Emergency and Critical Care Medicine, Kumamoto University Hospital
  • Takeda Taichi
    Department of Emergency and Critical Care Medicine, Kumamoto University Hospital
  • Kinoshita Yoshihiro
    Department of Emergency and Critical Care Medicine, Kumamoto University Hospital

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  • ＣＴの胃内ｈｉｇｈ　ｄｅｎｓｉｔｙ所見が診断に有用であった急性ブロムワレリル尿素中毒の一例

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A 48 year-old deep coma female was transfered to our emergency room by her commonlaw marriage husband by his car. Her pupils were miotic and reacted sluggish on a light stimulation. There were some bruises on her face and breast. Firstly, we suspected the cause of coma as a brain injury. But there were no abnormal findings in a head CT scan, nor chest, abdominal X-ray images. We unexpectedly observed high density substance in her stomach on a CT scan. This finding reminded us a radiopaque drug intoxication. Bromovaleryl urea is a wellknown radiopaque hypnotic drug. Later, four empty boxes of drug packages printed “WuttTM”, which contains bromovareryl urea, were discovered in her house. After she became awake, she confirmed an overdose use of this drug and had a suicidal ideation. We found 4.5mg·dl-1 of bromine in her blood taken just after her admission. We diagnosed the cause of unconsciousness as acute bromovaleryl urea intoxication by a CT image which is more sensitive than a plain abdominal X-ray image in this case.

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