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Case Report

An endoscopic end to coma

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Figures & data

Figure 1. Carbamazepine concentrations and interventions. Initial serum carbamazepine concentration was 59 μg/mL and peaked at 120 μg/mL 16 hours later.

Figure 1. Carbamazepine concentrations and interventions. Initial serum carbamazepine concentration was 59 μg/mL and peaked at 120 μg/mL 16 hours later.

Figure 2. (a) Carbamazepine bezoar seen on esophagogastroduodenoscopy in situ measuring 5 cm in diameter, 9.9 g by weight on laboratory analysis. (b) The pharmacobezoar was fragmented and captured using a Roth Net. Three passes of the endoscope were required and an esophageal overtube was used to facilitate the complete retrieval of pharmacobezoar.

Figure 2. (a) Carbamazepine bezoar seen on esophagogastroduodenoscopy in situ measuring 5 cm in diameter, 9.9 g by weight on laboratory analysis. (b) The pharmacobezoar was fragmented and captured using a Roth Net. Three passes of the endoscope were required and an esophageal overtube was used to facilitate the complete retrieval of pharmacobezoar.

Table 1. Patient-specific factors associated with bezoar formation [Citation2,Citation3,Citation10–12].