Spontaneous Recurrent Pneumoperitoneum due to Opioid-Induced Constipation: A Case Report

Long-term treatment with or addiction to methadone and other opiates can lead to serious complications such as opioid-induced constipation (OIC). Here we report a case where a long-term opioid user presents in the ER in respiratory distress. Radiographic findings concerning pneumoperitoneum and coop...

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Detalles Bibliográficos
Autores principales: Kaushal, Varun, Amoozgar, Behzad, Garala, Pavan, Bayanzay, Karim, Sen, Shuvendu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Internal Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7303506/
https://www.ncbi.nlm.nih.gov/pubmed/32572360
http://dx.doi.org/10.7759/cureus.8205
Descripción
Sumario:Long-term treatment with or addiction to methadone and other opiates can lead to serious complications such as opioid-induced constipation (OIC). Here we report a case where a long-term opioid user presents in the ER in respiratory distress. Radiographic findings concerning pneumoperitoneum and cooperation with specialists lead to a diagnosis of stercoral colitis with possible micro-perforations. Through fecal disimpaction and counseling on chronic opioid use, the patient initially improved, but consecutively had a fatal outcome. 

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