PMID: 9188983Jun 1, 1997Paper

Subcutaneous metallic mercury injection: early, massive excision

Annals of Plastic Surgery
S IşikN Selmanpakoğlu

Abstract

The case of a patient who injected 10 cc of metallic mercury subcutaneously into his left forearm through multiple punctures in an attempt at suicide is presented. Diagnosis was made by plain radiography of his left forearm, which exhibited redness, edema, and tenderness on the third day postinjection. Early excision of all affected subcutaneous tissues including metallic mercury deposits was performed on the fifth day postinjection. Blood and urine mercury levels that were initially found in high levels decreased dramatically to normal ranges after the excision and remained unchanged at the follow-up period of 6 months. No renal or hepatic functional impairment was encountered. The patient was free of toxic symptoms and mercury embolism. The local, aseptic lytic property of metallic mercury, which could cause severe damage to vital structures, was observed perioperatively. Early diagnosis and early, massive excision of mercury deposits in affected tissues is the important treatment modality in these rare cases.

Citations

Apr 23, 2003·British Journal of Plastic Surgery·M G EllabbanN B Hart
Feb 13, 2001·The Journal of Emergency Medicine·A M RuhaS C Curry
Jun 3, 2010·The Journal of Hand Surgery, European Volume·A I Mario, M Tare
Jan 8, 2004·Emergency Medicine Clinics of North America·Ashok L JainMaria I Rudis
Jul 15, 2003·Human & Experimental Toxicology·Y O Y SooT Y K Chan
Dec 7, 2019·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Nalan Metin AksuMeltem Akkaş

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