Massive portal venous air and pneumatosis intestinalis associated with cocaine-induced mesenteric ischemia.
Publication/Presentation Date
1-1-2012
Abstract
BACKGROUND: We report a 53-year-old female who presented to the emergency department in distress with an acute abdomen after recreational use of cocaine.
DISCUSSION: The patient's computed tomography scan revealed extensive portal venous air with small-bowel pneumatosis intestinalis resulting from intestinal ischemia. Air could be seen throughout the superior mesenteric vein, portal vein, and hepatic portal venous distribution. The patient underwent extensive resuscitation and resection of small bowel requiring three operative interventions. A pertinent review of the literature of cocaine-induced small-bowel ischemia is provided covering the pathophysiology, clinical findings, and epidemiology.
CONCLUSION: Cocaine-induced mesenteric ischemia is a serious disease causing significant morbidity and mortality. Operative therapy is often required.
Volume
16
Issue
1
First Page
223
Last Page
225
ISSN
1873-4626
Published In/Presented At
Rittenhouse, D. W., & Chojnacki, K. A. (2012). Massive portal venous air and pneumatosis intestinalis associated with cocaine-induced mesenteric ischemia. Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 16(1), 223–225. https://doi.org/10.1007/s11605-011-1579-6
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
21656084
Department(s)
Administration and Leadership
Document Type
Article