Haemoperitoneum associated with cocaine abuse: a case report.
Cocaine use is now relatively common in the occidental societies and is responsible for a long list of medical complications involving almost every organ system in the body. The digestive complications are less known. We report a case of a young man who presented to the emergency department with violent abdominal pain and several episodes of vomiting after using intranasal cocaine. The abdominal pain was caused by a massive haemoperitoneum with no evidence of any underlying pathology. This case shows that we have to consider the possibility of a lethal abdominal haemorrhage in the differential diagnosis of acute abdominal pain in cocaine abusers.
de Magnée
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C
Department of Surgery, Ixelles Hospital, Free University of Brussels, ULB, Brussels, Belgium. cathdem11@hotmail.com
Feron
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P
Mehdi
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A
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D019970:Cocaine-Related Disorders / Q000150:complications*; D006465:Hemoperitoneum / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D010535:Laparoscopy; D008297:Male