Can Heroin Poisoning Lead To Stomach Necrosis? A Case Report

Can Heroin Poisoning Lead To Stomach Necrosis? A Case Report

Blog Article

Introduction: Opiate (including heroin) use prevalence is 1.2% of the world population according to the last report of UNOCD.In Iran about 2 million people of population are drug abusers.Heroin reduces gastric motility and prolongs gastric emptying time and it can cause gastric dilation which can be a reason for gastric ischemia.Gastric ischemia is an uncommon condition do to the rich gastric blood perfusion and collateral arteries.

As some of studies show, gastric dilation can be a cause for gastric necrosis.Case asi178mc presentation: A 22-year-old woman who presented to our hospital with severe abdominal pain and several episodes of vomiting.The patient declared that she had a history of addiction to methamphetamine and heroin.In abdominal examination, a soft and non-distended abdomen with generalized tenderness, mostly in hypogastric region without rebound tenderness was revealed.Abdominal radiograph revealed a much distended stomach.

A non-contrast CT abdomen confirmed severe gastric dilatation.On turbosound ts-18sw700/8a endoscopy, multiple necrotic lesions were seen throughout the stomach and mostly in the proximal part.Our finding in the laparotomy was gastric necrosis in the proximal part, which resulted in a total gastrectomy.esophagojejunostomy with roux en y reconstruction was done after total gastrectomy.Conclusion: Opioids can increase the risk of GI dysfunction and they can increase risk of infection in GI tract.

In our case ,abuse of heroin caused a gastric dilation and massive gastric necrosis.