Gastric Pneumatosis After Accidental Ingestion of Concentrated Hydrogen Peroxide: A Case Report.

Autor:	Pham CXQ; Rancho Family Medical Group, Temecula, California., Graves C; Loma Linda University, Department of Emergency Medicine, Loma Linda, California., Uttaburanont M; Rancho Family Medical Group, Temecula, California., Singh KP; Loma Linda University, Department of Emergency Medicine, Loma Linda, California.; University of California, Riverside, School of Medicine, Riverside, California., Witkos M; Loma Linda University, Department of Emergency Medicine, Loma Linda, California.
Jazyk:	angličtina
Zdroj:	Clinical practice and cases in emergency medicine [Clin Pract Cases Emerg Med] 2021 Nov; Vol. 5 (4), pp. 419-421.
DOI:	10.5811/cpcem.2021.6.52944
Abstrakt:	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.
Databáze:	MEDLINE
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