Gas Embolism After Hydrogen Peroxide Use During Spine Surgery: Case Report and Literature Review

Gas embolism to the portal venous system is a well-recognized radiographic sign in infants with necrotizing enterocolitis. It also has been seen after colonic irrigation with hydrogen peroxide solution.1,2 We present what we believe is the first reported patient with radiographic evidence of portal venous gas embolism after ingestion of hydrogen peroxide solution. This finding is important because gas embolism to the portal venous system after colonic irrigation with hydrogen peroxide has been associated with gangrenous and perforated bowel.1,2 CASE REPORT A 2-year-old boy ingested an unknown amount of 3% hydrogen peroxide solution. The child was found with foam around his mouth.

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Hydrogen Peroxide Induced Colitis: A Case Report and Literature Review

Case Reports in Gastrointestinal Medicine ◽

10.1155/2017/6432063 ◽

2017 ◽

Vol 2017 ◽

pp. 1-6 ◽

Cited By ~ 3

Author(s):

Dushyant Pawar ◽

Anna Calara ◽

Roy Jacob ◽

Nancy Beck ◽

Alan N. Peiris

Keyword(s):

Hydrogen Peroxide ◽

Case Report ◽

Literature Review ◽

Recovery Period ◽

Vital Signs ◽

Oral Intake ◽

Bloody Diarrhea ◽

Age Group ◽

Pediatric Age Group ◽

Mucosal Thickening

Constipation is a common condition. Hydrogen peroxide enemas have rarely been reported as a home remedy for constipation in the pediatric age group. We present a case report and literature review of hydrogen peroxide induced colitis in pediatric siblings, aged 2 years and 9 years. The siblings presented with vomiting and bloody diarrhea an hour following the enema. Physical exam, vital signs, blood, and electrolyte counts were normal, but CT scans showed mucosal thickening of the rectum and colon. Their symptoms resolved after oral intake was curtailed and fluids were replaced intravenously. We discuss existing reports of complications from hydrogen peroxide enemas. Patients may present with abdominal pain and bloody diarrhea. Onset of symptoms varied from minutes to a day and bowel ulceration with necrosis and perforation has occurred, although fatality is rare. Diagnostic tests included computed tomography (CT) scan, sigmoidoscopy, or biopsy. Recovery period ranged from 3 days to 8 months. Public education regarding the dangers of hydrogen peroxide enemas is needed.

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Anaesthetic Challenges in Thoracic Spine Surgery with Bilateral Pulmonary Bullae: A Case Report with Literature Review

Anaesthesia & Critical Care Medicine Journal ◽

10.23880/accmj-16000150 ◽

2019 ◽

Vol 4 (2) ◽

Author(s):

Gaurav Jain

Keyword(s):

Case Report ◽

Literature Review ◽

Spine Surgery ◽

Thoracic Spine

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Gas embolism after periproctal abscess incision and lavage with hydrogen peroxide − a case report Should the use of hydrogen peroxide in surgery be continued?

10.33699/pis.2021.100.1.37-39 ◽

2021 ◽

Vol 100 (1) ◽

Keyword(s):

Hydrogen Peroxide ◽

Case Report ◽

Cardiopulmonary Resuscitation ◽

Cardiopulmonary Arrest ◽

Gas Embolism ◽

Health Consequences ◽

Antiseptic Solution ◽

Antiseptic Agent

Introduction: Hydrogen peroxide is an antiseptic solution still often used in surgical departments for lavage of wounds. Its use is nevertheless linked to an important risk of gas embolism. Such a case report has not yet been published in the Czech literature and awareness of this danger is low among surgeons. Case report: The author describes the case of gas embolism in a 40 years old patient after lavage of a periproctal abscess incision with 3% hydrogen peroxide. The lavage resulted in a cardiopulmonary arrest with the need of cardiopulmonary resuscitation. Fortunately, the patient recovered without any health consequences. Conclusion: In the view of important risks and questionable and insufficiently proven benefits it may be the time to possibly reconsider the use of hydrogen peroxide in surgery and replace it with a different antiseptic agent.

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