Cheng C L, Svesko V
Department of Emergency Medicine, New York University-Bellevue Hospital Center, New York.
Ann Emerg Med. 1994 Jan;23(1):126-8. doi: 10.1016/s0196-0644(94)70018-4.
A 28-year-old homosexual man, previously healthy, presented with an acute abdomen on the fifth day of his crack binge. Abdominal free air was demonstrated by radiographic studies. Exploratory laparotomy discovered a clean, ulcer-free, pyloric perforation. This unusual case underscores the possibility of a life-threatening visceral perforation after cocaine use.