Peritonitis on sigmoidal perforation in a cocaine user: A rare case report

被引:2
作者
Mabrouk, Mohamed Yassine [1 ]
Guellil, Abdelali
Haitam, Soussan
Deflaoui, Tarik
Jabi, Rachid
Bouziane, Mohammed
机构
[1] Mohamed VI Univ Hosp, Dept Gen Surg, Oujda, Morocco
来源
INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS | 2024年 / 115卷
关键词
Cocaine; Colonic ischemia; Peritonitis; Surgery; Case report; ISCHEMIC COLITIS;
D O I
10.1016/j.ijscr.2024.109287
中图分类号
R61 [外科手术学];
学科分类号
摘要
Introduction and importance: Cocaine, the second most abused drug in Morocco after cannabis, has been associated with multiple cardiac, pulmonary, neurological, and digestive complications. Colonic perforation following cocaine abuse is relatively lesser -known and requires attention as abuse rates are increasing, and existing evidence is scarce. Only a few cases have been reported in medical literature. Case presentation: We report the case of a 42 -year -old male cocaine addict who presented with acute peritonitis. A laparotomy revealed a 3 cm perforation in the sigmoid, The absence of radiological, biological, and pathological evidence confirms the toxic origin of the perforation. Clinical discussion: Cocaine -induced ischemic colitis is a rare occurrence in a surgeon's clinical experience. This condition is typically confirmed through colonoscopy and often resolves without the need for surgery, although a small number of cases may advance to peritonitis, necessitating surgical intervention. Conclusion: Cocaine's adverse effects should be taken into account in the differential diagnosis of acute ischemic events in young adults. A general understanding of the significant complications associated with cocaine can aid in achieving early diagnosis and prompt treatment.
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页数:4
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