Abstract
Gastrointestinal obstruction is a rare complication of multiple-dose administration of activated charcoal. Previous reports deal only with obstruction after ingestion of drugs that impair gastrointestinal motility. This patient developed a small-bowel obstruction associated with the administration of multiple doses of activated charcoal (350 g, total) for treatment of theophylline toxicity. This patient also had low-grade, previously asymptomatic adhesions at the ileocecal valve. A 4.5 × 5 × 3-cm aggregate of charcoal was surgically removed from the distal ileum. [Goulbourne KB, Cisek JE: Small-bowel obstruction secondary to activated charcoal and adhesions. Ann Emerg Med July 1994;24:108-110.]
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