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{
    "pk": 1087,
    "title": "Gastric Pneumatosis After Accidental Ingestion of Concentrated Hydrogen Peroxide: A Case Report",
    "subtitle": null,
    "abstract": "Introduction:\n Hydrogen peroxide is a common oxidizing agent that if ingested may cause injury to the gastrointestinal tract or embolic events. Although therapy is primarily supportive, gastric perforation is a rare but serious complication of corrosive ingestion that may require surgical treatment.\nCase Report:\n We report the case of a 77-year-old male who presented for nausea and vomiting after accidentally ingesting approximately 150 milliliters of 35% hydrogen peroxide. Computed tomography revealed gastric pneumatosis and extensive portal venous air. The patient was admitted for observation with plans for endoscopy; however, due to the limitations of our small community hospital, he was transferred to a tertiary care center due to concern for a potential gastric perforation.\nConclusion:\n The presence of portal venous air as a result of peroxide ingestion may be treated conservatively depending on presenting symptoms; however, severe injury such as gastrointestinal perforation may necessitate surgical intervention.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "hydrogen peroxide ingestion"
        },
        {
            "word": "Gastric pneumatosis"
        },
        {
            "word": "caustic injury"
        },
        {
            "word": "portal venous air"
        },
        {
            "word": "case report"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/0nw4z2rp",
    "frozenauthors": [
        {
            "first_name": "Christine",
            "middle_name": "X.Q.",
            "last_name": "Pham",
            "name_suffix": "",
            "institution": "Rancho Family Medical Group, Temecula, California",
            "department": "None"
        },
        {
            "first_name": "Casey",
            "middle_name": "",
            "last_name": "Graves",
            "name_suffix": "",
            "institution": "Loma Linda University, Department of Emergency Medicine, Loma Linda, California",
            "department": "None"
        },
        {
            "first_name": "Michelle",
            "middle_name": "",
            "last_name": "Uttaburanont",
            "name_suffix": "",
            "institution": "Rancho Family Medical Group, Temecula, California",
            "department": "None"
        },
        {
            "first_name": "Karan",
            "middle_name": "P.",
            "last_name": "Singh",
            "name_suffix": "",
            "institution": "Loma Linda University, Department of Emergency Medicine, Loma Linda, California; University of California, Riverside, School of Medicine, Riverside, California",
            "department": "None"
        },
        {
            "first_name": "Maciej",
            "middle_name": "",
            "last_name": "Witkos",
            "name_suffix": "",
            "institution": "Loma Linda University, Department of Emergency Medicine, Loma Linda, California",
            "department": "None"
        }
    ],
    "date_submitted": "2021-10-06T03:15:38+01:00",
    "date_accepted": "2021-10-06T03:15:38+01:00",
    "date_published": "2021-10-06T03:16:43+01:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1087/galley/829/download/"
        }
    ]
}