Severe Pneumatosis Intestinalis and Hepatic Portal Venous Gas in a Patient With Methamphetamine Use: Early Recognition and Management

被引：0

作者：

Lugue, Maria Theresa ^{[1
]}

Cruz, Gabriel ^{[2
]}

Jones, Daniel T. ^{[2
]}

Heer, Manvir S. ^{[3
]}

Bui, Linsey ^{[4
]}

Pace, Christopher ^{[4
]}

Silver, Scott A. ^{[4
]}

机构：

[1] Touro Univ Calif, Internal Med, Vallejo, CA USA

[2] Touro Univ Nevada, Internal Med, Henderson, NV 89014 USA

[3] Kansas City Univ, Internal Med, Joplin, MO USA

[4] Valley Hosp Med Ctr, Internal Med Residency Program, Internal Med, Las Vegas, NV USA

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2024年 / 16卷 / 08期

关键词：

intensive care management; substance-induced complications; multisystem failure; critical care; radiographic imaging; metabolic acidosis; bowel ischemia; methamphetamine use; hepatic portal venous gas; pneumatosis intestinalis;

D O I：

10.7759/cureus.68017

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Pneumatosis intestinalis (PI) and hepatic portal venous gas (HPVG) are rare but potentially life-threatening conditions characterized by the presence of gas within the bowel wall and portal venous system, respectively. This case report presents a 45-year-old male with a history of methamphetamine use who developed severe metabolic and hemodynamic instability, marked by altered mental status, metabolic acidosis, and ST elevations. Despite aggressive resuscitation and intensive care, the patient unfortunately succumbed to his condition, highlighting the gravity of these complications. This report underscores the importance of early recognition, comprehensive management, and timely surgical consultation to improve outcomes. It also emphasizes the need for a multidisciplinary approach and further research to better understand these conditions and the significant role of methamphetamine use as a contributing factor.

引用

页数：8