Methamphetamine-Induced Bowel Ischemia in a 50-Year-Old Male
Methamphetamine intoxication is a known risk factor for nonocclusive mesenteric ischemia (NOMI). We describe a case of a 50-year-old male with a history of polysubstance abuse who presented to the Emergency Department with severe abdominal pain and coffee-ground emesis. Computed tomographic (CT) ima...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-01-01
|
| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2022/9690034 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832545331931250688 |
|---|---|
| author | Brian Kurtz Abdalhai Alshoubi Katrina Nguyen Eric Gehres |
| author_facet | Brian Kurtz Abdalhai Alshoubi Katrina Nguyen Eric Gehres |
| author_sort | Brian Kurtz |
| collection | DOAJ |
| description | Methamphetamine intoxication is a known risk factor for nonocclusive mesenteric ischemia (NOMI). We describe a case of a 50-year-old male with a history of polysubstance abuse who presented to the Emergency Department with severe abdominal pain and coffee-ground emesis. Computed tomographic (CT) imaging demonstrated portal venous gas and diffuse colonic wall thickening concerning for ischemic colitis. The patient underwent exploratory laparotomy with resection of the ascending colon as well as a necrotic section of the jejunum. Further embolic workup was negative with a subjective history of amphetamine use prior to presentation. NOMI has a high fatality rate, and we recommend providers include drug-induced bowel infarction on their differential when presented with findings of ischemic bowel of unclear etiology. |
| format | Article |
| id | doaj-art-c884da9f315b400b9857da2cda98b946 |
| institution | Kabale University |
| issn | 2090-6439 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-c884da9f315b400b9857da2cda98b9462025-02-03T07:26:17ZengWileyCase Reports in Critical Care2090-64392022-01-01202210.1155/2022/9690034Methamphetamine-Induced Bowel Ischemia in a 50-Year-Old MaleBrian Kurtz0Abdalhai Alshoubi1Katrina Nguyen2Eric Gehres3St. Joseph’s Medical Center/Dignity HealthSt. Joseph’s Medical Center/Dignity HealthSt. Joseph’s Medical Center/Dignity HealthSt. Joseph’s Medical Center/Dignity HealthMethamphetamine intoxication is a known risk factor for nonocclusive mesenteric ischemia (NOMI). We describe a case of a 50-year-old male with a history of polysubstance abuse who presented to the Emergency Department with severe abdominal pain and coffee-ground emesis. Computed tomographic (CT) imaging demonstrated portal venous gas and diffuse colonic wall thickening concerning for ischemic colitis. The patient underwent exploratory laparotomy with resection of the ascending colon as well as a necrotic section of the jejunum. Further embolic workup was negative with a subjective history of amphetamine use prior to presentation. NOMI has a high fatality rate, and we recommend providers include drug-induced bowel infarction on their differential when presented with findings of ischemic bowel of unclear etiology.http://dx.doi.org/10.1155/2022/9690034 |
| spellingShingle | Brian Kurtz Abdalhai Alshoubi Katrina Nguyen Eric Gehres Methamphetamine-Induced Bowel Ischemia in a 50-Year-Old Male Case Reports in Critical Care |
| title | Methamphetamine-Induced Bowel Ischemia in a 50-Year-Old Male |
| title_full | Methamphetamine-Induced Bowel Ischemia in a 50-Year-Old Male |
| title_fullStr | Methamphetamine-Induced Bowel Ischemia in a 50-Year-Old Male |
| title_full_unstemmed | Methamphetamine-Induced Bowel Ischemia in a 50-Year-Old Male |
| title_short | Methamphetamine-Induced Bowel Ischemia in a 50-Year-Old Male |
| title_sort | methamphetamine induced bowel ischemia in a 50 year old male |
| url | http://dx.doi.org/10.1155/2022/9690034 |
| work_keys_str_mv | AT briankurtz methamphetamineinducedbowelischemiaina50yearoldmale AT abdalhaialshoubi methamphetamineinducedbowelischemiaina50yearoldmale AT katrinanguyen methamphetamineinducedbowelischemiaina50yearoldmale AT ericgehres methamphetamineinducedbowelischemiaina50yearoldmale |