Conclusion
We report the uncommon occurrence of CT-confirmed portal venous air embolism due to ingestion of dilute H2O2. While hyperbaric treatment appeared useful for symptom resolution in this patient, its efficacy to treat portal venous gas remains unproven.
Keywords: peroxide, poisoning, portal venous gas, air embolism
Full Text
The Full Text of this article is available as a PDF (151.1 KB).
Footnotes
The authors have no potential financial conflicts of interest to report.
References
- 1.Wax P. Antiseptics, disinfectants, and sterilants. In: Flomenbaum NE, Goldfrank LR, Hoffman RS, Howland MA, Lewin NA, Nelson LS, eds. Goldfrank’s Toxicologic Emergencies. 8th ed. 2006;1384-1397.
- 2.Rackoff WR, Merton DF. Gas embolism after ingestion of hydrogen peroxide. Pediatrics. 1990;85:593–594. [PubMed] [Google Scholar]
- 3.Shaw A, Cooperman A, Fusco J. Gas embolism produced by peroxide. N Engl J Med. 1967;277:238–241. doi: 10.1056/NEJM196708032770504. [DOI] [PubMed] [Google Scholar]
- 4.Luu TA, Kelley MT, Strauch JA, et al. Portal vein gas embolism from hydrogen peroxide ingestion. Ann Emerg Med. 1992;21:1391–1393. doi: 10.1016/S0196-0644(05)81908-0. [DOI] [PubMed] [Google Scholar]
