Troy Emanuel Gibbons1, Kadria Sayed, George Joseph Fuchs. 1. Department of Pediatrics, Section of Gastroenterology, Hepatology and Nutrition, University of Arkansas for Medical Science, Arkansas Children's Hospital, Little Rock, Arkansas 72202, USA. gibbonstroye@uams.edu
Abstract
BACKGROUND: An 18-year-old adolescent with cystic fibrosis developed massive gastrointestinal bleeding. METHODS: History, physical examination, upper and lower endoscopy and wireless capsule endoscopy were performed. RESULTS: Upper and lower endoscopy did not reveal cause of persistent bleeding. Wireless capsule endoscopy revealed pan-gastrointestinal ischemic injury. Further discussion with the patient revealed recent cocaine ingestion. CONCLUSION: Most reported cases of gut injury following cocaine abuse describe juxtapyloric and colonic injury; this case demonstrates that ischemic gut injury after cocaine use can be extensive and may be the reason for the associated high mortality.
BACKGROUND: An 18-year-old adolescent with cystic fibrosis developed massive gastrointestinal bleeding. METHODS: History, physical examination, upper and lower endoscopy and wireless capsule endoscopy were performed. RESULTS: Upper and lower endoscopy did not reveal cause of persistent bleeding. Wireless capsule endoscopy revealed pan-gastrointestinal ischemic injury. Further discussion with the patient revealed recent cocaine ingestion. CONCLUSION: Most reported cases of gut injury following cocaine abuse describe juxtapyloric and colonic injury; this case demonstrates that ischemic gut injury after cocaine use can be extensive and may be the reason for the associated high mortality.
Authors: Ravi S Radhakrishnan; Hasan Xue; Norman Weisbrodt; Frederick A Moore; Steven J Allen; Glenn A Laine; Charles S Cox Journal: Shock Date: 2005-08 Impact factor: 3.454
Authors: Jacqueline Hernandez; Javier A Tamargo; Sabrina Sales Martinez; Haley R Martin; Adriana Campa; Rafick-Pierre Sékaly; Rebeka Bordi; Kenneth E Sherman; Susan D Rouster; Heidi L Meeds; Jag H Khalsa; Raul N Mandler; Shenghan Lai; Marianna K Baum Journal: PLoS One Date: 2022-10-10 Impact factor: 3.752