Hydrogen Peroxide Induced Colitis: A Case Report and Literature Review.
Publication/Presentation Date
1-1-2017
Abstract
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.
Volume
2017
First Page
6432063
Last Page
6432063
ISSN
2090-6528
Published In/Presented At
Pawar, D., Calara, A., Jacob, R., Beck, N., & Peiris, A. N. (2017). Hydrogen Peroxide Induced Colitis: A Case Report and Literature Review. Case reports in gastrointestinal medicine, 2017, 6432063. https://doi.org/10.1155/2017/6432063
Disciplines
Diagnosis | Medicine and Health Sciences | Other Analytical, Diagnostic and Therapeutic Techniques and Equipment | Radiology
PubMedID
29435375
Department(s)
Department of Radiology and Diagnostic Medical Imaging
Document Type
Article