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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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
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author Kaushal, Varun
Amoozgar, Behzad
Garala, Pavan
Bayanzay, Karim
Sen, Shuvendu
author_facet Kaushal, Varun
Amoozgar, Behzad
Garala, Pavan
Bayanzay, Karim
Sen, Shuvendu
author_sort Kaushal, Varun
collection PubMed
description 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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spelling pubmed-73035062020-06-21 Spontaneous Recurrent Pneumoperitoneum due to Opioid-Induced Constipation: A Case Report Kaushal, Varun Amoozgar, Behzad Garala, Pavan Bayanzay, Karim Sen, Shuvendu Cureus Internal Medicine 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.  Cureus 2020-05-20 /pmc/articles/PMC7303506/ /pubmed/32572360 http://dx.doi.org/10.7759/cureus.8205 Text en Copyright © 2020, Kaushal et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Kaushal, Varun
Amoozgar, Behzad
Garala, Pavan
Bayanzay, Karim
Sen, Shuvendu
Spontaneous Recurrent Pneumoperitoneum due to Opioid-Induced Constipation: A Case Report
title Spontaneous Recurrent Pneumoperitoneum due to Opioid-Induced Constipation: A Case Report
title_full Spontaneous Recurrent Pneumoperitoneum due to Opioid-Induced Constipation: A Case Report
title_fullStr Spontaneous Recurrent Pneumoperitoneum due to Opioid-Induced Constipation: A Case Report
title_full_unstemmed Spontaneous Recurrent Pneumoperitoneum due to Opioid-Induced Constipation: A Case Report
title_short Spontaneous Recurrent Pneumoperitoneum due to Opioid-Induced Constipation: A Case Report
title_sort spontaneous recurrent pneumoperitoneum due to opioid-induced constipation: a case report
topic Internal Medicine
url 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
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AT bayanzaykarim spontaneousrecurrentpneumoperitoneumduetoopioidinducedconstipationacasereport
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