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Intestinal ischemia due to methamphetamine use: A case report.

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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.