%0 Journal Article
%T Gastric pneumatosis after accidental ingestion of concentrated hydrogen peroxide: a case report
%J Clinical practice and cases in emergency medicine
%D 2021
%A Pham, Christine X. Q.
%A Graves, Casey
%A Uttaburanont, Michelle
%A Singh, Karan P.
%A Witkos, Maciej
%V 5
%N 4
%P 419-421
%X 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. <br><br>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.<p /> <p>Language: en</p>
%G en
%I Department of Emergency Medicine, University of California, Irvine
%@ 2474-252X
%U http://dx.doi.org/10.5811/cpcem.2021.6.52944