title: Ingestion of Portland Cement.
abstract: BACKGROUND
  The common toxicities of cement are allergic dermatitis, abrasions, and chemical burns, but reports of cement ingestion are rare. In this study, we report a case of successful treatment of cement ingestion using emergency gastrointestinal endoscopy.
  
  
  METHODS
  An 83-year-old female was admitted to the emergency department with altered mental state and abdominal pain. We assumed that she ingested cement based on her medical history and radiologic examination. A previous report recommended surgical removal with gastric lavage. However, we thought that wet cement is highly alkaline, and gastric lavage is contraindicated. We performed emergency gastrointestinal endoscopy, instead of gastric lavage. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: If a patient ingests cement, the recommendation is to check the status of the upper gastrointestinal tract and remove the cement by emergency gastrointestinal endoscopy as soon as possible.
authors: Department of Emergency Medicine, College of Medicine, Eulji University, Daejeon, Republic of Korea.
authors: Kyung Ho
authors: KH
authors: Kim
authors: Department of Emergency Medicine, College of Medicine, Eulji University, Daejeon, Republic of Korea.
authors: Jang Young
authors: JY
authors: Lee
authors: Department of Internal Medicine, College of Medicine, Eulji University, Daejeon, Republic of Korea.
authors: Seong Eun
authors: SE
authors: Yang
authors: Department of Emergency Medicine, College of Medicine, Eulji University, Daejeon, Republic of Korea.
authors: Won Suk
authors: WS
authors: Lee
authors: Department of Emergency Medicine, College of Medicine, Eulji University, Daejeon, Republic of Korea.
authors: Won Young
authors: WY
authors: Sung
authors: Department of Emergency Medicine, College of Medicine, Eulji University, Daejeon, Republic of Korea.
authors: Sang Won
authors: SW
authors: Seo
authors: Department of Emergency Medicine, College of Medicine, Eulji University, Daejeon, Republic of Korea.
authors: Jung Il
authors: JI
authors: Yang
mesh_terms: D000369:Aged, 80 and over; D003252:Construction Materials / Q000506:poisoning*; D000075202:Contraindications; D004435:Eating; D016099:Endoscopy, Gastrointestinal; D005260:Female; D005751:Gastric Lavage; D006801:Humans; D013396:Suction
keywords: cement; endoscopy; gastrointestinal; toxicity