Öz
The aim of this case report is the description of self-limiting and completely reversible abdominal findings using multi-detector computerized tomography (MDCT) in case of acute Synthetic cannabinoid (SC) intoxication. SC intoxication presents with findings such as periportal halo sign, diffuse enlargement of pancreas, intra- and peripancreatic fluid, long segment small bowel wall thickening and fluid between dilated intestinal loops at abdominal MDCT. To the best of our knowledge, the study is the first to report abdominal MDCT findings of SC intoxication.
Anahtar Kelimeler
synthetic cannabinoids abdomen multi-detector computerized tomography
Kaynakça
- 1. Winstock AR, Barratt MJ. Synthetic cannabis: a comparison of patterns of use and effect profile with natural cannabis in a large global sample. Drug Alcohol Depend. 2013;131(1-2):106–11
- 2. Psychoyos D, Vinod KY. Marijuana, spice ‘herbal high’, and early neural development: implications for rescheduling and legalization. Drug Test Anal. 2013;5(1):27–45
- 3. Brents LK, Prather PL. The K2/Spice phenomenon: emergence, identification, legislation and metabolic characterization of synthetic cannabinoids in herbal incense products. Drug Metab Rev. 2014;46(1):72-85
- 4. Alhadi S, Tiwari A, Vohra R, Gerona R, Acharya J, Bilello K. High times, low sats: diffuse pulmonary infiltrates associated with chronic synthetic cannabinoid use. J Med Toxicol.2013;9(2):199-206
- 5. Tanei T, Morita Y, Yashima A, et al. Severe rhabdomyolysis and intracranial hemorrhage associated with synthetic cannabinoid: a case report. No Shinkei Geka. 2014;42(9) 867-71
- 6. Freeman MJ, Rose DZ, Myers MA, Gooch CL, Bozeman AC, Burgin WS. Ischemic stroke after use of the synthetic marijuana "spice. Neurology. 2013;81(24):2090-93
- 7. Bernson-Leung ME, Leung LY, Kumar S. Synthetic cannabis and acute ischemic stroke. J Stroke Cerebrovasc Dis. 2014;23(5):1239-41
- 8. Berkowitz EA, Henry TS, Veeraraghavan S, Staton GW Jr, Gal AA. Pulmonary Effects of Synthetic Marijuana: Chest Radiography and CT Findings. Am J Roentgenol. 2015; 204(4):750-7.
- 9. Sevinc MM, Kinaci E, Bayrak S, Yardimci AH, Cakar E, Bektaş H Extraordinary cause of acute gastric dilatation and hepatic portal venous gas: Chronic use of synthetic cannabinoid. World J Gastroenterol 2015;21(37):10704-8.
- 10. Lenhart DK. Balthazar EJ. MDCT of acute mild (nonnecrotizing) pancreatitis: abdominal complications and fate of fluid collections. AJR 2008;190(3):643–9
- 11. Fatma H, Mouna B, Leila M, Radhouane D. Taoufik N. Cannabis: a rare cause of acute pancreatitis. Clin Res Hepatol Gastroenterol. 2013;37(1):24-5
- 12. Shafqet MA, Brown TV, Sharma R. Normal lipase drug-induced pancreatitis. Am J Emerg Med. 2015;33(3):476-81 13. Angel W, Angel J, Shankar S. Ischemic bowel: uncommon imaging findings in a case of cocaine enteropathy. J Radiol Case Rep. 2013;7(2):38-43
- 14. Tiwari, A, Moghal, M, Meleagros L. Life threatening abdominal complications following cocaine abuse. Journal of the Royal Society of Medicine. 2006;99(2):51-2
- 15. Karcaaltincaba M, Haliloglu M, Akpinar E, et al. Multidetector CT and MRI findings in periportal space pathologies. Eur J Radiol. 2007; 61(1):3-10
Öz
Bu vaka sunumunun amacı akut sentetik kannabinoid (SK) intoksikasyonu ile acil servise başvuran genç bir hastada, kendi kendini sınırlayan ve geri dönüşümlü abdominal çok dedektörlü bilgisayarlı tomografi (ÇDBT) bulgularının literature eşliğinde sunulmasıdır. SK intoksikasyonu, ÇDBT’de periportal halo işareti, pankreasın diffüz büyümesi, intra ve peripankreatik sıvı, uzun segment devam eden ince barsak duvar kalınlaşmaları ve barsak ansları arasında serbest sıvı şeklinde bulgular sergilemektedir. Kanımıza göre çalışmamız, SK intoksikasyonun batın ÇDBT bulgularını gösteren ilk çalışma olma özelliği taşımaktadır.
Anahtar Kelimeler
sentetik kannabinoid abdomen çok dedektörlü bilgisayarlı tomografi
Kaynakça
- 1. Winstock AR, Barratt MJ. Synthetic cannabis: a comparison of patterns of use and effect profile with natural cannabis in a large global sample. Drug Alcohol Depend. 2013;131(1-2):106–11
- 2. Psychoyos D, Vinod KY. Marijuana, spice ‘herbal high’, and early neural development: implications for rescheduling and legalization. Drug Test Anal. 2013;5(1):27–45
- 3. Brents LK, Prather PL. The K2/Spice phenomenon: emergence, identification, legislation and metabolic characterization of synthetic cannabinoids in herbal incense products. Drug Metab Rev. 2014;46(1):72-85
- 4. Alhadi S, Tiwari A, Vohra R, Gerona R, Acharya J, Bilello K. High times, low sats: diffuse pulmonary infiltrates associated with chronic synthetic cannabinoid use. J Med Toxicol.2013;9(2):199-206
- 5. Tanei T, Morita Y, Yashima A, et al. Severe rhabdomyolysis and intracranial hemorrhage associated with synthetic cannabinoid: a case report. No Shinkei Geka. 2014;42(9) 867-71
- 6. Freeman MJ, Rose DZ, Myers MA, Gooch CL, Bozeman AC, Burgin WS. Ischemic stroke after use of the synthetic marijuana "spice. Neurology. 2013;81(24):2090-93
- 7. Bernson-Leung ME, Leung LY, Kumar S. Synthetic cannabis and acute ischemic stroke. J Stroke Cerebrovasc Dis. 2014;23(5):1239-41
- 8. Berkowitz EA, Henry TS, Veeraraghavan S, Staton GW Jr, Gal AA. Pulmonary Effects of Synthetic Marijuana: Chest Radiography and CT Findings. Am J Roentgenol. 2015; 204(4):750-7.
- 9. Sevinc MM, Kinaci E, Bayrak S, Yardimci AH, Cakar E, Bektaş H Extraordinary cause of acute gastric dilatation and hepatic portal venous gas: Chronic use of synthetic cannabinoid. World J Gastroenterol 2015;21(37):10704-8.
- 10. Lenhart DK. Balthazar EJ. MDCT of acute mild (nonnecrotizing) pancreatitis: abdominal complications and fate of fluid collections. AJR 2008;190(3):643–9
- 11. Fatma H, Mouna B, Leila M, Radhouane D. Taoufik N. Cannabis: a rare cause of acute pancreatitis. Clin Res Hepatol Gastroenterol. 2013;37(1):24-5
- 12. Shafqet MA, Brown TV, Sharma R. Normal lipase drug-induced pancreatitis. Am J Emerg Med. 2015;33(3):476-81 13. Angel W, Angel J, Shankar S. Ischemic bowel: uncommon imaging findings in a case of cocaine enteropathy. J Radiol Case Rep. 2013;7(2):38-43
- 14. Tiwari, A, Moghal, M, Meleagros L. Life threatening abdominal complications following cocaine abuse. Journal of the Royal Society of Medicine. 2006;99(2):51-2
- 15. Karcaaltincaba M, Haliloglu M, Akpinar E, et al. Multidetector CT and MRI findings in periportal space pathologies. Eur J Radiol. 2007; 61(1):3-10
Ayrıntılar
| Konular | Sağlık Kurumları Yönetimi |
|---|---|
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Aralık 2017 |
| Kabul Tarihi | 17 Kasım 2017 |
| Yayımlandığı Sayı | Yıl 2017 Cilt: 7 Sayı: 4 |