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 -