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Updated: Dec 8, 2025
05:07
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
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Amphetamine-induced small bowel ischemia - A case report
Elena Ciupilan1, Markus Gapp1, Robert Stelzl1
1Department of Radiology, St. Josef Krankenhaus, Ringstrasse 60, Braunau am Inn 5280, Austria.
Radiology Case Reports
|September 18, 2020
Summary
Amphetamine abuse can cause acute intestinal ischemia in young adults, necessitating prompt diagnosis. Multidetector computed tomography, with reduced radiation, and portal venous scans aid in identifying this critical condition.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Toxicology
Background:
- Nonocclusive mesenteric ischemia (NOMI) typically affects elderly patients with comorbidities.
- Acute bowel ischemia is infrequently reported in young individuals with a history of recreational drug abuse.
Observation:
- A 33-year-old patient presented with acute abdominal pain after amphetamine consumption.
- Multidetector computed tomography revealed nonocclusive segmental ischemia of the distal ileum.
Findings:
- The patient underwent emergency surgery with ileocecal resection.
- Rapid recovery and discharge without postoperative complications were observed.
Implications:
- Early diagnosis of intestinal ischemia in amphetamine abusers is crucial for timely treatment.
- Optimized multidetector computed tomography protocols with reduced radiation are recommended for younger patients.
- Portal venous scanning can be a sufficient diagnostic tool in select cases.
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