title: Ischemic bowel: uncommon imaging findings in a case of cocaine enteropathy.
abstract: While the clinical findings of cocaine-induced enteropathy from mesenteric ischemia are fairly well understood, there is a paucity of imaging description and detail in the literature that describes these findings. Imaging characteristics of cocaine-induced mesenteric ischemia on CT examination include bowel edema, mucosal enhancement, venous engorgement, mesenteric free fluid, and dilatation of the small bowel lumen. A thorough history, physical examination, and laboratory testing are critical for the diagnosis and prompt surgical intervention may be necessary. We present a case of cocaine-induced mesenteric ischemia in a 49 year old male which resolved within 24 hours of supportive therapy.
authors.affiliation: University of Tennessee Health Science Center, Regional Medical Center, Memphis, TN, USA. wes.register@gmail.com
authors.forename: Wesley
authors.initials: W
authors.lastname: Angel
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Angel
authors.forename: Sridhar
authors.initials: S
authors.lastname: Shankar
mesh_terms: D003042:Cocaine / Q000009:adverse effects*; D019970:Cocaine-Related Disorders / Q000000981:diagnostic imaging* / Q000628:therapy; D037001:Directive Counseling; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging* / Q000628:therapy; D008297:Male; D008641:Mesenteric Vascular Occlusion / Q000000981:diagnostic imaging* / Q000628:therapy; D008875:Middle Aged; D010808:Physical Examination; D014057:Tomography, X-Ray Computed
chemical_list: D003042:Cocaine
keywords: Cocaine Enteritis; Cocaine Enteropathy; Enteritis; Enteropathy; Mesenteric Ischemia