Skip to main content

Case 18 Concentrated Hydrogen Peroxide Ingestion

  • Chapter
Case Studies in Medical Toxicology
  • 1583 Accesses

Abstract

A 32-year-old man ingests concentrated hydrogen peroxide and develops vomiting and abdominal pain. The diagnostic workup and management approach is discussed, including the role of imaging and hyperbaric oxygen therapy.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • 35% H2O2 hydrogen peroxide food grade certified benefits. 2015. http://www.theoneminutemiracleinc.com/pages/h2o2-benefits/.

  • Bassan MM, Dudai M, Shalev O. Near-fatal systemic oxygen embolism due to wound irrigation with hydrogen peroxide. Postgrad Med J. 1982;58(681):448–50.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Burns RA, Schmidt SM. Portal venous gas emboli after accidental ingestion of concentrated hydrogen peroxide. J Emerg Med. 2013;45(3):345–7.

    Article  PubMed  Google Scholar 

  • Cina SJ, Downs JC, Conradi SE. Hydrogen peroxide: a source of lethal oxygen embolism. Case report and review of the literature. Am J Forensic Med Pathol. 1994;15(1):44–50.

    Article  CAS  PubMed  Google Scholar 

  • FDA warns consumers against drinking high-strength hydrogen peroxide for medicinal use: ingestion can lead to serious health risk and death [news release]. Silver Spring, MD: US Food and Drug Administration. 2006. http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/2006/ucm108701.htm. [30 January 2015].

  • French LK, Horowitz BZ, McKeown NJ. Hydrogen peroxide ingestion associated with portal venous gas and treatment with hyperbaric oxygen: a case series and review of the literature. Clin Toxicol (Phila). 2010;48(6):533–8.

    Article  CAS  Google Scholar 

  • Fulton JA. Caustics. In: Nelson LS, Lewin NA, Howland MA, Hoffman RS, Goldfrank LR, Flomenbaum NE, editors. Goldfrank’s toxicological emergencies. 9th ed. New York: McGraw-Hill; 2011. p. 1364–73.

    Google Scholar 

  • Henry MC, Wheeler J, Mofenson HC, et al. Hydrogen peroxide 3% exposures. J Toxicol Clin Toxicol. 1996;34(3):323–7.

    Article  CAS  PubMed  Google Scholar 

  • Luu TA, Kelley MT, Strauch JA, Avradopoulos K. Portal vein gas embolism from hydrogen peroxide ingestion. Ann Emerg Med. 1992;21(11):1391–3.

    Article  CAS  PubMed  Google Scholar 

  • Mirski MA, Lele AV, Fitzsimmons L, Toung TJK. Diagnosis and treatment of vascular air embolism. Anesthesiology. 2007;106:164–77.

    Article  PubMed  Google Scholar 

  • Papafragkou S, Gasparyan A, Batista R, Scott P. Treatment of portal venous gas embolism with hyperbaric oxygen after accidental ingestion of hydrogen peroxide: a case report and review of the literature. J Emerg Med. 2012;43(1):e21–3.

    Article  PubMed  Google Scholar 

  • Rackoff WR, Merton DF. Gas embolism after ingestion of hydrogen peroxide. Pediatrics. 1990;85(4):593–4.

    CAS  PubMed  Google Scholar 

  • Rider SP, Jackson SB, Rusyniak DE. Cerebral air gas embolism from concentrated hydrogen peroxide ingestion. Clin Toxicol (Phila). 2008;46(9):815–8.

    Article  CAS  Google Scholar 

  • Shaw A, Cooperman A, Fusco J. Gas embolism produced by hydrogen peroxide. N Engl J Med. 1967;277(5):238–41.

    Article  CAS  PubMed  Google Scholar 

  • Ukuku DO, Bari ML, Kawamoto S, Isshiki K. Use of hydrogen peroxide in combination with nisin, sodium lactate and citric acid for reducing transfer of bacterial pathogens from whole melon surfaces to fresh-cut pieces. Int J Food Microbiol. 2005;104(2):225–33.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Lucyk, S. (2017). Case 18 Concentrated Hydrogen Peroxide Ingestion. In: Dye, L.R., Murphy, C., Calello, D.P., Levine, M.D., Skolnik, A. (eds) Case Studies in Medical Toxicology. Springer, Cham. https://doi.org/10.1007/978-3-319-56449-4_18

Download citation

Publish with us

Policies and ethics