Spontaneous Recurrent Pneumoperitoneum due to Opioid-Induced Constipation: A Case Report
Varun Kaushal1, Behzad Amoozgar1, Pavan Garala1
1Internal Medicine, Jersey Shore University Medical Center (Perth Amboy), Perth Amboy, USA.
Abstract:
Long-term treatment with or addiction to methadone and other opiates can lead to serious complications such as opioid-induced constipation (OIC). Here we report a case where a long-term opioid user presents in the ER in respiratory distress. Radiographic findings concerning pneumoperitoneum and cooperation with specialists lead to a diagnosis of stercoral colitis with possible micro-perforations. Through fecal disimpaction and counseling on chronic opioid use, the patient initially improved, but consecutively had a fatal outcome.
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