Gastric Pneumatosis After Accidental Ingestion of Concentrated Hydrogen Peroxide: A Case Report
Introduction: Hydrogen peroxide is a common oxidizing agent that if ingested may cause injury to the gastrointestinal tract or embolic events. Although therapy is primarily supportive, gastric perforation is a rare but serious complication of corrosive ingestion that may require surgical treatment....
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eScholarship Publishing, University of California
2021
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oai:doaj.org-article:520cec610f1346f9a8bcd31af4067ab52021-11-23T20:02:52ZGastric Pneumatosis After Accidental Ingestion of Concentrated Hydrogen Peroxide: A Case Report2474-252X10.5811/cpcem.2021.6.52944https://doaj.org/article/520cec610f1346f9a8bcd31af4067ab52021-11-01T00:00:00Zhttps://escholarship.org/uc/item/0nw4z2rphttps://doaj.org/toc/2474-252XIntroduction: Hydrogen peroxide is a common oxidizing agent that if ingested may cause injury to the gastrointestinal tract or embolic events. Although therapy is primarily supportive, gastric perforation is a rare but serious complication of corrosive ingestion that may require surgical treatment. Case Report: We report the case of a 77-year-old male who presented for nausea and vomiting after accidentally ingesting approximately 150 milliliters of 35% hydrogen peroxide. Computed tomography revealed gastric pneumatosis and extensive portal venous air. The patient was admitted for observation with plans for endoscopy; however, due to the limitations of our small community hospital, he was transferred to a tertiary care center due to concern for a potential gastric perforation. Conclusion: The presence of portal venous air as a result of peroxide ingestion may be treated conservatively depending on presenting symptoms; however, severe injury such as gastrointestinal perforation may necessitate surgical intervention.Christine X.Q. PhamCasey GravesMichelle UttaburanontKaran P. SinghMaciej WitkoseScholarship Publishing, University of CaliforniaarticleMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENClinical Practice and Cases in Emergency Medicine, Vol 5, Iss 4 (2021) |
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Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 |
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Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Christine X.Q. Pham Casey Graves Michelle Uttaburanont Karan P. Singh Maciej Witkos Gastric Pneumatosis After Accidental Ingestion of Concentrated Hydrogen Peroxide: A Case Report |
description |
Introduction: Hydrogen peroxide is a common oxidizing agent that if ingested may cause injury to the gastrointestinal tract or embolic events. Although therapy is primarily supportive, gastric perforation is a rare but serious complication of corrosive ingestion that may require surgical treatment. Case Report: We report the case of a 77-year-old male who presented for nausea and vomiting after accidentally ingesting approximately 150 milliliters of 35% hydrogen peroxide. Computed tomography revealed gastric pneumatosis and extensive portal venous air. The patient was admitted for observation with plans for endoscopy; however, due to the limitations of our small community hospital, he was transferred to a tertiary care center due to concern for a potential gastric perforation. Conclusion: The presence of portal venous air as a result of peroxide ingestion may be treated conservatively depending on presenting symptoms; however, severe injury such as gastrointestinal perforation may necessitate surgical intervention. |
format |
article |
author |
Christine X.Q. Pham Casey Graves Michelle Uttaburanont Karan P. Singh Maciej Witkos |
author_facet |
Christine X.Q. Pham Casey Graves Michelle Uttaburanont Karan P. Singh Maciej Witkos |
author_sort |
Christine X.Q. Pham |
title |
Gastric Pneumatosis After Accidental Ingestion of Concentrated Hydrogen Peroxide: A Case Report |
title_short |
Gastric Pneumatosis After Accidental Ingestion of Concentrated Hydrogen Peroxide: A Case Report |
title_full |
Gastric Pneumatosis After Accidental Ingestion of Concentrated Hydrogen Peroxide: A Case Report |
title_fullStr |
Gastric Pneumatosis After Accidental Ingestion of Concentrated Hydrogen Peroxide: A Case Report |
title_full_unstemmed |
Gastric Pneumatosis After Accidental Ingestion of Concentrated Hydrogen Peroxide: A Case Report |
title_sort |
gastric pneumatosis after accidental ingestion of concentrated hydrogen peroxide: a case report |
publisher |
eScholarship Publishing, University of California |
publishDate |
2021 |
url |
https://doaj.org/article/520cec610f1346f9a8bcd31af4067ab5 |
work_keys_str_mv |
AT christinexqpham gastricpneumatosisafteraccidentalingestionofconcentratedhydrogenperoxideacasereport AT caseygraves gastricpneumatosisafteraccidentalingestionofconcentratedhydrogenperoxideacasereport AT michelleuttaburanont gastricpneumatosisafteraccidentalingestionofconcentratedhydrogenperoxideacasereport AT karanpsingh gastricpneumatosisafteraccidentalingestionofconcentratedhydrogenperoxideacasereport AT maciejwitkos gastricpneumatosisafteraccidentalingestionofconcentratedhydrogenperoxideacasereport |
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1718416092515270656 |