Baiomi Ahmed, Patel Harish, Abbas Hafsa, Vootla Vamshidhar, Makker Jasbir
Department of Medicine, Division of Gastroenterology, Bronx Care Health System, 1650 Selwyn Ave, Bronx, NY 10457, United States
Department of Medicine, Division of Gastroenterology, Bronx Care Health System, 1650 Selwyn Ave, Bronx, NY 10457, United States.
World J Gastrointest Endosc. 2019 Sep 16;11(9):486-490. doi: 10.4253/wjge.v11.i9.486.
Hydrogen peroxide is one of the most common household disinfectants worldwide. Hydrogen peroxide has been documented as a rare cause of chemical colitis.
We present a case of 31 years old lady who presented to our hospital with rectal bleeding and abdominal pain after using hydrogen peroxide vaginal douche as an enema. She underwent colonoscopy which showed findings suggestive of chemical colitis and was managed conservatively. Hydrogen peroxide can induce chemical injury in the colon. Clinical presentation and endoscopic findings of chemical colitis are nonspecific. History taking is an important tool in identifying the underlying etiology. Review of literature showed few case reports, mostly were managed with oral antibiotics and conservative approach.
Chemical colitis is usually managed conservatively. Complications including perforation, stricture and peritonitis may happen and need aggressive treatment accordingly.
过氧化氢是全球最常见的家用消毒剂之一。过氧化氢已被记录为化学性结肠炎的罕见病因。
我们报告一例31岁女性，她在使用过氧化氢阴道灌洗作为灌肠剂后出现直肠出血和腹痛，前来我院就诊。她接受了结肠镜检查，结果提示化学性结肠炎，并接受了保守治疗。过氧化氢可导致结肠化学性损伤。化学性结肠炎的临床表现和内镜检查结果不具有特异性。病史采集是确定潜在病因的重要工具。文献回顾显示病例报告较少，大多数采用口服抗生素和保守治疗方法。
化学性结肠炎通常采用保守治疗。可能会发生包括穿孔、狭窄和腹膜炎在内的并发症，因此需要积极治疗。
