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https://doi.org/10.1097/mpg.0000000000002791
Copy DOIPublication Date: May 26, 2020 | |
Citations: 2 |
Since 2014, vaping devices or “e-cigarettes” have become the most commonly used tobacco product in the pediatric population (1). Primary health concerns among patients who vape typically include associated lung disease and injury (2). There have, however, been cases of pediatric ingestions of vaping device refill cartridges or liquids containing nicotine or tetrahydrocannabinol leading to vital instability, altered mental status, and even hepatic liver failure (3,4). Here, we report a case of a patient who ingested an entire vaping device. A previously healthy 15-year-old boy presented to us after he had accidentally swallowed his vaping device. On arrival to our facility, he was asymptomatic and physical examination was unremarkable. An x-ray was consistent with a foreign body in his gastric region (Fig. 1A). His urine drug screen was positive for cannabinoids and his serum cotinine level, a metabolite of nicotine, was elevated to 165 ng/mL indicating recent exposure. Poison control recommended no intervention apart from device removal. The device was retrieved endoscopically via a 2.5 × 5.5 cm polypectomy snare and measured 10 cm in length and 2 cm in width (Fig. 1B, C). The patient was discharged without complications. This case illustrates an unexpected potential danger of vaping devices.FIGURE 1: XXX.
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