Osorio J, Farreras N, Bachs E
Servicio de Cirugía General, Hospital Cruz Roja de L'Hospitalet de Llobregat, University of Barcelona, Spain.
Dig Surg. 2000;17(6):648-651. doi: 10.1159/000051980.
We report a 33-year-old man with distal ileum infarction after intravenous abuse of cocaine. He underwent resection of a gangrenous bowel segment and survived. We review the literature regarding intestinal ischaemia related to cocaine. To date, 19 cases have been published. Like most previously reported cases, our patient was young and had no previous history of arteriosclerosis. He suffered cocaine-induced rhabdomyolysis and acute renal failure. Mesenteric ischaemia should be considered in the differential diagnosis of acute or chronic abdominal pain in cocaine consumers.
我们报告一名33岁男性，因静脉注射可卡因后发生回肠末端梗死。他接受了坏疽肠段切除术并存活下来。我们回顾了与可卡因相关的肠道缺血的文献。迄今为止，已发表了19例病例。与大多数先前报道的病例一样，我们的患者很年轻，且既往无动脉硬化病史。他出现了可卡因诱导的横纹肌溶解和急性肾衰竭。在可卡因使用者出现急性或慢性腹痛的鉴别诊断中，应考虑肠系膜缺血。
