[Cocaine-triggered ischaemic enteritis].
A 25-year-old woman was hospitalized repeatedly during a 5-year period due to abdominal pain, change in stool pattern, high CRP and leucocytosis. Ultrasound and small bowel examination showed oedema of terminal ileum, and morbus Crohn was initially suspected. A later ileocolonoscopy with biopsy and a pill cam capsule endoscopy were normal. In all cases the condition normalized spontaneously. A thorough interview revealed a recreational use of cocaine, and diary recordings confirmed the association between her abdominal pain and cocaine use. Ischaemic enteritis has previously been described in cocaine users.
Hobolth
Lise
L
Gastroenheden 439, Hvidovre Hospital, DK-2650 Hvidovre. lise.hobolth@hvh.regionh.dk
Bendtsen
Flemming
F
D015746:Abdominal Pain / Q000139:chemically induced; D000328:Adult; D003042:Cocaine / Q000009:adverse effects*; D019970:Cocaine-Related Disorders / Q000150:complications*; D017091:Colitis, Ischemic / Q000139:chemically induced; D004751:Enteritis / Q000139:chemically induced*; D005260:Female; D006801:Humans; D007079:Ileitis / Q000139:chemically induced; D007511:Ischemia / Q000139:chemically induced*; D014662:Vasoconstrictor Agents / Q000009:adverse effects
D014662:Vasoconstrictor Agents; D003042:Cocaine