Case Report Cocaine-induced Ischaemic Stricture of the Colon
نویسندگان
چکیده
Cocaine abuse is a widespread social problem with many well-recognized complications. These include cardiac, cerebrovascular and gastrointestinal events. Cocaine may effect a severe vasoconstriction, and its potential to induce severe side effects, because of this pharmacological action, are well recognized. In the abdomen the development of ischaemic strictures in both the small and large bowel may occur. However, the latter is seldom reported and only one case report relating to the radiological literature could be found on Medline and Embase literature searches. We recently encountered a patient with a strong history of heavy cocaine and “crack” cocaine use, who presented with abdominal pain of unknown origin. Radiological investigation showed a colonic stricture to be the cause of his symptoms. This was resected and subsequent histology revealed this to be an ischaemic stricture, thought to be related to his cocaine abuse.
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