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Polyvinyl chloride solvent cement poisoning: a case report.
S R Marambahewa1, D A C T Chandrasiri1, W A I C Wijesekara1
1District General Hospital, Mannar, Sri Lanka.
Journal of Medical Case Reports
|April 5, 2024
Summary
Self-ingestion of S-lon, a polyvinyl chloride solvent cement, can cause severe central nervous system depression and airway obstruction. Management is supportive, as chemical reactions with medical devices like nasogastric tubes can occur.
Area of Science:
- Toxicology
- Emergency Medicine
- Materials Science
Background:
- S-lon is a widely used polyvinyl chloride-based solvent cement in Sri Lanka.
- Its constituents, including cyclohexanone, butanone, and acetone, are associated with potential neurotoxicity and organ injury.
- The clinical effects of S-lon ingestion were previously uncharacterized.
Observation:
- A 42-year-old male presented after ingesting S-lon, initially stable but later developing CNS depression and stridor.
- Upper airway examination revealed inflammation and edema, necessitating intubation and ventilation.
- A nasogastric tube became amalgamated with S-lon, forming a solid mass, requiring reintubation due to agitation.
Findings:
- Sufficient S-lon ingestion can lead to gut absorption, CNS depression, coma, and potentially death.
- Chemical laryngitis and upper airway inflammation can cause obstruction.
- S-lon can chemically react with medical equipment, leading to complications.
Implications:
- Management of S-lon toxicity is primarily supportive, with no specific antidote.
- Healthcare providers should be aware of the potential for airway compromise and unique complications.
- Vigilance is required regarding interactions between ingested substances and medical devices.
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