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Updated: Jan 19, 2026
Necrosis
Secondary colonic necrosis. Case report
Ma Del Carmen Aburto-Fernández1, Adán Araujo-López1, Irwin U García-Godoy1
1Servicio de Cirugía General, Hospital General de Querétaro, Querétaro, México.
Background:
Colonic vascular lesion secondary to verapamil overdose is mediated by free radicals, forming vascular microtrombos and endotoxin generation, being a difficult diagnosis.
Clinical Case:
A 27-year-old female is admitted with an acute abdomen of 4 days after an event referred for a suicidal attempt due to an overdose of verapamil, operating surgically where there is a right transmural colon necrosis, performing a right hemicolectomy with terminal ileostomy.
Conclusions:
Recognize and properly treat an acute abdomen, not always reach an adequate diagnosis, so a thorough history could conclude.
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