[Ischemic colitis induced by cocaine. Clinical case].
We report a 29 years old male, with a history of cocaine abuse and excessive alcohol intake, who was admitted to the hospital with an acute peritonitis. The patient was operated and multiple perforations of the cecum were found. A right hemicolectomy was performed and the pathological study of the surgical piece showed an ischemic colitis. A literature review reveals 22 reported cases of ischemic colitis associated to cocaine abuse.
Boza
Camilo
C
Departamento de Cirugía Digestiva, Facultad de Medicina, Pontificia Universidad Católica de Chile. camiloboza@hotmail.com
Dagnino
Bruno
B
Garrido
Ana María
AM
Llanos
Osvaldo
O
D000281:Administration, Intranasal; D000328:Adult; D003042:Cocaine / Q000009:adverse effects*; D019970:Cocaine-Related Disorders / Q000175:diagnosis* / Q000601:surgery; D017091:Colitis, Ischemic / Q000139:chemically induced* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008297:Male; D010538:Peritonitis / Q000139:chemically induced / Q000175:diagnosis / Q000601:surgery; D014662:Vasoconstrictor Agents / Q000009:adverse effects*
D014662:Vasoconstrictor Agents; D003042:Cocaine