TY - JOUR
PY - 2021//
TI - Gastric pneumatosis after accidental ingestion of concentrated hydrogen peroxide: a case report
JO - Clinical practice and cases in emergency medicine
A1 - Pham, Christine X. Q.
A1 - Graves, Casey
A1 - Uttaburanont, Michelle
A1 - Singh, Karan P.
A1 - Witkos, Maciej
SP - 419
EP - 421
VL - 5
IS - 4
N2 - 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.
Language: en
LA - en SN - 2474-252X UR - http://dx.doi.org/10.5811/cpcem.2021.6.52944 ID - ref1 ER -