title: Acute pyloric perforation after prolonged crack smoking.
abstract: A 28-year-old homosexual man, previously healthy, presented with an acute abdomen on the fifth day of his crack binge. Abdominal free air was demonstrated by radiographic studies. Exploratory laparotomy discovered a clean, ulcer-free, pyloric perforation. This unusual case underscores the possibility of a life-threatening visceral perforation after cocaine use.
authors.affiliation: Department of Emergency Medicine, New York University-Bellevue Hospital Center, New York.
authors.forename: C L
authors.initials: CL
authors.lastname: Cheng
authors.forename: V
authors.initials: V
authors.lastname: Svesko
mesh_terms: D000006:Abdomen, Acute / Q000139:chemically induced; D000208:Acute Disease; D000328:Adult; D016578:Crack Cocaine; D006801:Humans; D008297:Male; D011708:Pylorus; D013272:Stomach Diseases / Q000139:chemically induced*; D019966:Substance-Related Disorders / Q000150:complications*
chemical_list: D016578:Crack Cocaine