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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Autores principales: Christine X.Q. Pham, Casey Graves, Michelle Uttaburanont, Karan P. Singh, Maciej Witkos
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Lenguaje:EN
Publicado: eScholarship Publishing, University of California 2021
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Acceso en línea:https://doaj.org/article/520cec610f1346f9a8bcd31af4067ab5
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Medical emergencies. Critical care. Intensive care. First aid
RC86-88.9
spellingShingle 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
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