Ahn Gyo Jin, Cha Yong Sung
Department of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
Clin Exp Emerg Med. 2022 Jun;9(2):146-149. doi: 10.15441/ceem.20.033. Epub 2022 Jun 30.
Some cases of plaster ingestion include the occurrence of gastrointestinal obstruction that requires surgery. To date, there are no reports on the treatment of plaster lesions in the mouth. A 50-year-old woman was referred to the emergency department after intentionally drinking a solution of approximately 100 g of plaster powder in 250 mL of water, 3 hours earlier. On arrival, the patient was alert but unable to speak because the plaster had hardened in her mouth. Hardened plaster was also found in her stomach. There was no evidence of acute gastrointestinal obstruction on abdominal computed tomography; we therefore decided to perform surgical observation. The intraoral plaster lesions were successfully removed using forceps, and the plaster bezoar was successfully eliminated without surgical treatment. The present case shows that not all patients with plaster poisoning require surgery; the patient's conditions, such as gastrointestinal obstruction, should indicate the course of treatment.
一些摄入石膏的病例包括出现需要手术治疗的胃肠道梗阻。迄今为止,尚无关于口腔内石膏损伤治疗的报道。一名50岁女性在3小时前故意饮用了约100克石膏粉溶于250毫升水中的溶液后被送往急诊科。到达时,患者意识清醒,但因石膏在口腔内硬化而无法说话。在其胃内也发现了硬化的石膏。腹部计算机断层扫描未发现急性胃肠道梗阻的证据;因此,我们决定进行手术观察。使用镊子成功移除了口腔内的石膏损伤,且未进行手术治疗便成功消除了石膏团块。本病例表明,并非所有石膏中毒患者都需要手术;患者的病情,如胃肠道梗阻情况,应指示治疗方案。