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Accidental paracetamol poisoning


A 45-year-old woman was referred to the Victorian Liver Transplant Unit with acute liver failure following the use of paracetamol at a therapeutic dose during prolonged fasting. Eight weeks previously, the patient had ndergone total abdominal hysterectomy for symptomatic uterine fibroids. Seven weeks after surgery, she was readmitted to hospital with subacute bowel obstruction secondary to adhesions. She had lost 10 kg in weight since the surgery, which was attributed to poor food intake as a result of recurrent abdominal pain and intermittent vomiting. Conservative treatment failed, and the patient subsequently underwent laparoscopic division of adhesions on the fifth day after admission


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English
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NONE
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MJA 2017;186:371-2
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