Blanken M A J T, Peeters F P M L
Tijdschr Psychiatr. 2020;62(1):73-77.
An adolescent patient with acute abdominal pain and vomiting presented in the emergency room. Bathing in hot water relieved his symptoms. Physical examination, basic laboratory testing and imaging showed no abnormalities. The patient was diagnosed with cannabinoid hyperemesis syndrome, which is characterized by chronic cannabis use, recurrent episodes of intractable vomiting and compulsively hot showering or bathing to relieve the symptoms. Unfamiliarity with the syndrome can easily lead to unnecessary diagnostic testing and inappropriate treatment. The consulting psychiatrist could play a role in the diagnostic process and treatment. Furthermore, early recognition of this syndrome in the emergency room may lead to a proper addiction treatment program.
一名患有急性腹痛和呕吐的青少年患者出现在急诊室。用热水洗澡缓解了他的症状。体格检查、基础实验室检查和影像学检查均未发现异常。该患者被诊断为大麻素呕吐综合征，其特征为长期使用大麻、反复出现顽固性呕吐，以及为缓解症状而强迫性地洗热水澡或淋浴。对该综合征不熟悉很容易导致不必要的诊断检查和不恰当的治疗。会诊精神科医生可在诊断过程和治疗中发挥作用。此外，在急诊室早期识别该综合征可能会促成适当的成瘾治疗方案。
