Cocaine-Induced Chronic Bowel Ischemia Manifesting As Small Bowel Obstruction
Iraklis Perysinakis, Georgios Saridakis, Miltiadis Giannarakis, Georgia Kritikou, Eelco de Bree
TL;DR
A young woman developed a rare case of small bowel obstruction due to chronic mesenteric ischemia caused by cocaine use.
Contribution
This paper presents a rare clinical case linking chronic cocaine use to small bowel obstruction via mesenteric ischemia.
Findings
Cocaine-induced chronic mesenteric ischemia can lead to small bowel obstruction.
Excessive intestinal wall fibrosis was observed as a result of chronic ischemia in the patient.
Abstract
Cocaine represents one of the most frequently used recreational drugs worldwide. Cocaine-related disorders mostly affect the nervous and cardiovascular system, although gastrointestinal complications are not negligible and sometimes life-threatening. The most common gastrointestinal manifestations of cocaine abuse are ulceration, infarction, perforation, ischemic enterocolitis, and rarely hemorrhage, with mesenteric ischemia being the underlying pathophysiological mechanism. Herein, we report a rare case of cocaine-induced small bowel obstruction in a young female patient, caused by chronic mesenteric ischemia and excessive intestinal wall fibrosis.
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Taxonomy
TopicsOpioid Use Disorder Treatment · Forensic Toxicology and Drug Analysis · Cannabis and Cannabinoid Research