Ischemic colitis related to cocaine abuse.
Ischemic colitis related to cocaine abuse.
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与可卡因滥用有关的缺血性结肠炎。
DOI：
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发表时间：
1994
影响因子：
9.8
通讯作者：
J. Marshall
中科院分区：
文献类型：
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作者：
D. N. Brown;M. Rosenholtz;J. Marshall
众所周知，使用可卡因可能与严重的心血管并发症有关，包括心肌梗塞。最近的一些病例报告将可卡因的使用与小肠和结肠的缺血事件联系起来。我们报道了一名 47 岁糖尿病男性因消遣性吸食可卡因后发生缺血性结肠炎并发穿孔的病例。与文献报道的其他病例相比，患者年龄较大和潜在的糖尿病是本病例的独特之处。最初并未确定患者的可卡因使用史。在我们获得阴性动脉造影结果后，我们回到病人身边并透露了信息。回顾了与可卡因和其他药物/药物相关的肠道缺血的文献。在急性肠血管功能不全综合征的鉴别诊断中应考虑滥用可卡因。
It is well recognized that cocaine use can be associated with serious cardiovascular complications, including myocardial infarction. Several case reports have recently linked the use of cocaine with ischemic events of the small bowel and colon. We report a case of ischemic colitis complicated by perforation in a 47-yr-old diabetic man which occurred after recreational cocaine use. The older age of the patient and underlying diabetes mellitus were unique aspects of our case, compared with others reported in the literature. The patient's history of cocaine use was not initially identified. After we obtained a negative arteriogram result, we went back to the patient and the information was revealed. The literature regarding intestinal ischemia related to cocaine and other drugs/medications is reviewed. The abuse of cocaine should be considered in the differential diagnosis of acute intestinal vascular insufficiency syndromes.