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Intestinal ischemia due to methamphetamine use: A case report

Kihoon Choi1, Andrew Imrie2, Rohan Lourie3

  • 1Department of General Surgery, Mater Hospital Brisbane, Raymond Terrace, South Brisbane, Queensland, 4101, Australia.

International Journal of Surgery Case Reports
|April 16, 2019
PubMed
Abstract

Insights

Methamphetamine use can cause rare but severe intestinal ischemia. Prompt surgical intervention is crucial for patient survival and recovery in these critical cases.

Area of Science:

  • Gastroenterology
  • Toxicology
  • Surgical Case Reports

Background:

  • Methamphetamine use is an uncommon but significant cause of intestinal ischemia.
  • This condition is associated with high morbidity and mortality rates.
  • Existing literature on methamphetamine-induced intestinal ischemia is sparse, primarily consisting of case reports.

Purpose of the Study:

  • To report a case of ischemic bowel secondary to methamphetamine use.
  • To highlight the clinical presentation and management of this rare condition.
  • To increase awareness among surgeons regarding this potential complication.

Main Methods:

  • A case presentation of a 48-year-old male patient with acute abdominal pain.
  • Diagnostic workup including emergency laparotomy.
  • Surgical intervention involving bowel resection and anastomosis.

Main Results:

  • The patient presented with symptoms suggestive of ischemic bowel.
  • Emergency laparotomy revealed segmental gangrene of the small bowel and colon.
  • Successful surgical management with right hemicolectomy, small bowel resection, and subsequent anastomosis.
  • The patient experienced an uncomplicated recovery and was discharged.

Conclusions:

  • Methamphetamine use should be considered in the differential diagnosis of acute abdominal pain presenting with intestinal ischemia.
  • A high index of suspicion is warranted in patients with a history of methamphetamine use.
  • Early recognition and surgical management are vital for improving outcomes in methamphetamine-induced intestinal ischemia.
Keywords:
Case reportIntestinal gangreneIntestinal ischemiaMethamphetamine

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