%0 Journal Article
%T A Different Cause of Mimicking Acute Abdominal Findings in the Emergency Department: Ingestion of Codeine and Caffeine Combinations
%A £¿ebnem Eren £¿evik
%A Onur Ye£¿il
%A Tuba Cimilli £¿zt¨¹rk
%A £¿zlem G¨¹neysel
%J Akademik Acil T£¿p Olgu Sunumlar£¿ Dergisi (AKATOS)
%D 2012
%I Aves Yayincilik
%X Codeine is a methylmorphine which has a minor role in the ambulatory treatment of pain. Caffeine (1, 3, 7-trimethylxanthine) is a plant alkaloid found in a wide variety of foods and beverages. Nausea, cramping, and constipation are side effects of codeine. Toxic effects of caffeine include vomiting, abdominal pain, cardiovascular effects and central nervous system (CNS) symptoms. A 24 year old male patient was admitted to our Emergency Department with a sudden beginning abdominal pain. It was learned that codeine and caffeine combination tablets containing 275 mg caffeine, 120 mg codeine, 4350 mg paracetamol, 14 mg chlorpheniramine maleate and 450 mg propyphenazone were ingested as a suicide attempt. The physical exam revealed diffuse abdominal tenderness and rebound. Abdominal pain was interpreted as an adverse affect of ingestion of codeine and caffeine combinations. Abdominal pain attacks continuing 2 to 3 hours, followed by painless periods, were recurred. Consecutive leukocyte counts remained in normal ranges. The patient was hospitalized for observation at general surgery ward. Codeine, caffeine combinations both cause abdominal pain as an adverse effect and abdominal findings can be confused with acute abdomen. Therefore the story and the serial abdominal examinations have significant role in diagnosis and management.
%K Codeine
%K caffeine
%K abdominal pain
%K suicide attempt
%U http://www.journalagent.com/z4/download_fulltext.asp?pdir=akatos&plng=eng&un=AKATOS-07269