title: [A case of chemical colitis caused by hydrogen peroxide enema].
abstract: 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.
authors.affiliation: Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
authors.forename: Chul Hyun
authors.initials: CH
authors.lastname: Lim
authors.forename: Hwa Young
authors.initials: HY
authors.lastname: Lee
authors.forename: Won Chul
authors.initials: WC
authors.lastname: Kim
authors.forename: Soung Hoon
authors.initials: SH
authors.lastname: Cho
authors.forename: Hee Sun
authors.initials: HS
authors.lastname: Jeong
authors.forename: Yeon Joo
authors.initials: YJ
authors.lastname: Jeon
authors.forename: Jang Eun
authors.initials: JE
authors.lastname: Lee
authors.forename: Sang Woo
authors.initials: SW
authors.lastname: Kim
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D003092:Colitis / Q000139:chemically induced* / Q000628:therapy; D004733:Enema / Q000009:adverse effects*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D006861:Hydrogen Peroxide / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D012812:Sigmoidoscopy; D014057:Tomography, X-Ray Computed
chemical_list: D006861:Hydrogen Peroxide