Crack cocaine abuse as an undescribed cause of gastric outlet obstruction.
Yolanda Patricia Tolaque-AldanaValeria Hernández-RodarteJoel Omar Jáquez-QuintanaPublished in: Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva (2022)
A 32-year-old male with crack-cocaine abuse for 10 years, 300 g/day. He started with epigastric abdominal pain, intensity 10/10, he went to another hospital where a perforated peptic ulcer was suspected and a laparotomy was performed, with no findings. Subsequently, he started with vomiting and weight loss, on admission, a gastric outlet obstruction (GOO) was suspected and CT scan showed a concentric duodenal growth. An upper endoscopy identified a duodenal bulb stenosis with a Forrest-III ulcer. Roux-en-Y gastrojejunal anastomosis was performed, identifying duodenal thickening, without malignancy.
Keyphrases
- abdominal pain
- weight loss
- computed tomography
- pulmonary embolism
- gastric bypass
- dual energy
- emergency department
- bariatric surgery
- healthcare
- intimate partner violence
- roux en y gastric bypass
- contrast enhanced
- image quality
- magnetic resonance
- prefrontal cortex
- magnetic resonance imaging
- adipose tissue
- acute care
- skeletal muscle
- metabolic syndrome
- insulin resistance