We report a case of voluntary poisoning with formalin in a 47-year-old
man. The initial status included respiratory failure, metabolic acido
sis and coagulopathy. Medical therapy consisted of mechanical ventilat
ion, a single prolonged haemodialysis session, N-acetylcysteine, and f
olic acid administration. The corrosive damage to the gastrointestinal
tract required an oesogastrectomy and three months later a colic tran
splant. (C) 1998 Elsevier, Paris.