Ingestion of food grade hydrogen peroxide with resultant gastrointestinal and neurologic symptoms treated with hyperbaric oxygen therapy: case report and review with emphasis on the therapeutic value of HBO2 in vascular gas embolism.

Stella Pak, Damian Valencia, Christopher Lee, Joseph Lach, George Ortiz

Journal: Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc 2021;48(2):177-186

PMID: 33975409

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Abstract

A 52-year-old male accidentally ingested approximately 100 mL of 35% hydrogen peroxide (H2O2), resulting in the sudden onset of gastrointestinal and neurologic symptoms. Non-contrast abdominal CT revealed extensive portal venous gas and gastric pneumatosis. The patient was treated with hyperbaric oxygen therapy which resulted in complete resolution of symptoms. The case highlights the therapeutic value of hyperbaric oxygen therapy in the treatment of vascular gas embolism and mitigation of concentrated H2O2 ingestion toxicity.

Address: Department of Internal Medicine, Orange Regional Medical Center Middletown, New York U.S.; Department of Internal Medicine, Kettering Medical Center, Kettering, Ohio U.S.; Department of Surgery, University of Toledo Medical Center, Toledo, Ohio U.S.

DOI: 10.22462/03.04.2021.9

MeSH Terms: Accidents, Home, Anti-Infective Agents, Local, Embolism, Air, Humans, Hydrogen Peroxide, Hyperbaric Oxygenation, Liver, Male, Middle Aged, Portal Vein, Stomach