Abstract
Hydrogen peroxide (H2O2) is an oxidizing agent with lots of domestic and industrial applications. Its accidental ingestion can cause toxicity by three different mechanisms: corrosive injury, oxygen gas formation, and lipid peroxidation. We report a case of a 77-year-old male, who presented with irritating cough and hoarseness following accidental ingestion of a 5–10% solution of H2O2. Computed tomography (CT) scans of the neck, chest, and abdomen showed extensive intrahepatic portal venous gas. An esophagogastroduodenoscopy (EGD) revealed a moderate gastritis. The patient was treated with intravenous fluids and proton-pump inhibitor (PPI). A CT scan control at 12 h revealed complete disappearance of gas in the liver. One week after the admission, he started solid diet, and he was able to eat without difficulty or pain, and he was discharged home.
References
Toxicology Handbook - Lindsay Murray, Mark Little, Ovidiu Pascu, Kerry Anne Hoggett - Google Libri [Internet]. [cited 2020 May 31]. Available from: https://books.google.it/books?id=OnJyCwAAQBAJ&pg=PT277&lpg=PT277&dq=ingestion+h2o2&source=bl&ots=oHq1aJldhW&sig=ACfU3U3C-GIjFSGBrFsKwr-SlZWFJ7JnhA&hl=it&sa=X&ved=2ahUKEwj32ZOBz97pAhUk4KYKHUo1B144ChDoATABegQIChAB#v=onepage&q=ingestionh2o2&f=false
Watt BE, Proudfoot AT, Vale JA. Hydrogen peroxide poisoning. Vol. 23, Toxicological Reviews. Toxicol Rev; 2004. p. 51–7
Managing hazardous materials incidents | Enhanced Reader [Internet]. [cited 2020 May 31]. Available from: chrome-extension://dagcmkpagjlhakfdhnbomgmjdpkdklff/enhanced-reader.html?pdf=https%3A%2F%2Fwww.atsdr.cdc.gov%2FMHMI%2Fmmg174.pdf
Christensen DW, Faught WE, Black RE, Woodward GA, Timmons OD. Fatal oxygen embolization after hydrogen peroxide ingestion. Crit Care Med [Internet]. 1992 [cited 2020 Oct 15];20(4):543–4. Available from: https://pubmed.ncbi.nlm.nih.gov/1559371/
Hussain A, Mahmood H, El-Hasani S. Portal vein gas in emergency surgery. Vol. 3, World Journal of Emergency Surgery. BioMed Central; 2008, 21
Mullins ME, Beltran JT (1998) Acute cerebral gas embolism from hydrogen peroxide ingestion successfully treated with hyperbaric oxygen. J Toxicol - Clin Toxicol 36(3):253–256
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 [Internet]. 2012 [cited 2020 Oct 15];43(1). Available from: https://pubmed.ncbi.nlm.nih.gov/19846266/
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
The authors declare no competing interests.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Spolverato, Y.C., Zuin, M., Valmasoni, M. et al. Hydrogen Peroxide H2O2 Poisoning: Air in the Liver. Indian J Surg 84, 565–567 (2022). https://doi.org/10.1007/s12262-021-02943-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12262-021-02943-7