Extra Oxygen Leads to Bubble Trouble: Portal Vein Gas Embolism from 3% Hydrogen Peroxide Ingestion

Hydrogen peroxide ingestion can cause gastric irritation and gas embolism; however, most reported cases are from the highly concentrated (≥35%) solution used in the industry and data on household-used 3% solution ingestion is scarce. We report a case of a portal vein gas embolism after ingestion of...

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Detalles Bibliográficos
Autores principales: Sung, Joowhan, Cossarini, Francesca, Palaiodimos, Leonidas, Benson, Benjamin, Meholli, Mimoza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2018
Materias:
Emergency Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5878092/
https://www.ncbi.nlm.nih.gov/pubmed/29616158
http://dx.doi.org/10.7759/cureus.2136
Descripción
Sumario:Hydrogen peroxide ingestion can cause gastric irritation and gas embolism; however, most reported cases are from the highly concentrated (≥35%) solution used in the industry and data on household-used 3% solution ingestion is scarce. We report a case of a portal vein gas embolism after ingestion of 3% hydrogen peroxide. The patient was managed conservatively with antacids and improved in 48 hours. Endoscopy and hyperbaric treatment were considered but not pursued. This is the fifth reported case of gas embolism after 3% hydrogen peroxide ingestion and stands in line with other reports where the patients improved with conservative management.

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