Chemical colitis caused by hydrogen peroxide vaginal douche:A case report

• 作者: Ahmed Baiomi Hafsa Abbas Harish Patel Jasbir Makker Vamshidhar Vootla
• 来源期刊: 世界胃肠内镜杂志:英文版(电子版)
• 学科: 医学
• 关键词: CHEMICAL COLITIS Hydrogen PEROXIDE COLITIS VAGINAL douche COLONOSCOPY Case report
• 年，卷（期）: 2019,（9）
• 页码范围: 486-490
• 页数: 5页
• 分类号: R

摘要

BACKGROUND Hydrogen peroxide is one of the most common household disinfectants worldwide.Hydrogen peroxide has been documented as a rare cause of chemical colitis.CASE SUMMARY 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.CONCLUSION Chemical colitis is usually managed conservatively.Complications including perforation,stricture and peritonitis may happen and need aggressive treatment accordingly.