A Successful Management after Cement Ingestion: A Case Report.
- Author:
Suk Hee LEE
1
;
Kyung Woo LEE
Author Information
1. Department of Emergency Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea. turtle072@hanmail.net
- Publication Type:Case Report
- Keywords:
Cement;
Alkali;
Ingestion;
Gastric lavage;
Endoscopy
- MeSH:
Aged;
Alkalies;
Bezoars;
Eating*;
Emergencies;
Emergency Service, Hospital;
Endoscopy;
Gastric Lavage;
Gastrointestinal Tract;
Hand;
Humans;
Primary Health Care;
Seizures;
Stupor;
Water
- From:Journal of the Korean Society of Emergency Medicine
2017;28(4):399-402
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Cases of the cement ingestion are rare. This paper reports the successful management of cement ingestion with gastric lavage and endoscopic washing. A 69-year-old man who had a stuporous mentality and seizures visited the local emergency room. He was found in his room with cement powder and several liquor bottles. He underwent a gastric lavage in the prior emergency room, which showed evidence of cement ingestion. He was transferred to the emergency center after primary care. Cement mixed with water is a strong alkali and acts as a caustic agent in the gastrointestinal tract. In addition, it can become hard in a few hours and sometimes produce gastric bezoars. Generally, gastric lavage is not recommended for caustic agents. On the other hand, gastric lavage and endoscopic washing was performed repeatedly for successful removal despite the physical and chemical characteristics of cement. Therefore, the active removal of ingested cement by both gastric lavage and endoscopic washing is recommended.
