과산화수소 관장에 의해 발생한 화학성 대장염

• Published in: The Korean journal of gastroenterology Vol. 58; no. 2; pp. 100 - 102
• Main Authors: 임철현, Chul Hyun Lim, 이화영, Hwa Young Lee, 김원철, Won Chul Kim, 조성훈, Soung Hoon Cho, 정희선, Hee Sun Jeong, 전연주, Yeon Joo Jeon, 이장은, Jang Eun Lee, 김상우, Sang Woo Kim
• Format: Journal Article
• Language: Korean
• Published: 대한소화기학회 30.08.2011
• Subjects: Colitis; Hydrogen peroxide; 내과학
• ISSN: 1598-9992; 2233-6869

Hydrogen peroxide is commonly used as a disinfectant that has been reported to cause chemical colitis. We report a case of 49 year-old man who presented with chemical colitis caused by self-inflicted hydrogen peroxide enema. In the sigmoidoscopic examination, diffuse erythematous and edematous mucosal change with multiple ulcerations and easy touch bleeding was noted from the rectum to the proximal sigmoid colon. Abdominal computed tomography showed diffuse wall thickening of the rectum and the sigmoid colon with inflammatory and reactive change at surrounding. The patient was treated with NPO, intravenous fluid, and antibiotic therapy. On 5th hospital day, abdominal pain and bloody stool disappeared, and the patient started oral feeding. He discharged on 6th hospital day with fully recovered state. (Korean J Gastroenterol 2011;58:100-102)