Case report published on bowel perforation

An image/video case report on bowel perforation was published Nov. 1 by Annals of Internal Medicine: Clinical Cases.

The report described a 63-year-old woman with an unspecified psychiatric disorder who presented to the ED with altered mental status and a white powder around her mouth and neck. A urine drug screen was negative. CT imaging was consistent with small-bowel perforation, and clinicians presumed that calcium powder in extreme excess led to her presentation.