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Sonographic findings in methamphetamine‐induced ischemic colitis
Author(s) -
Dirkx Cynthia A.,
Gerscovich Eugenio O.
Publication year - 1998
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/(sici)1097-0096(199811/12)26:9<479::aid-jcu9>3.0.co;2-k
Subject(s) - medicine , ischemic colitis , vasculitis , colitis , etiology , differential diagnosis , methamphetamine , diabetes mellitus , nasal decongestant , cocaine abuse , disease , gastroenterology , radiology , anesthesia , pathology , endocrinology , psychiatry
Ischemic colitis is a clinicopathologic condition that commonly occurs in elderly patients with atherosclerotic disease or diabetes mellitus. Uncommon etiologies include vasculitis and use of drugs such as oral contraceptives, phenobarbital, nasal decongestants, dextroamphetamine, and cocaine. Recent studies have shown sonography and CT to be helpful in the evaluation of the colitides. We report the sonographic and CT findings in an unusual case of methamphetamine‐induced ischemic colitis. Sonography and CT revealed diffuse thickening of the large bowel wall. Methamphetamine abuse should be considered in the differential diagnosis of the colitides, particularly in the setting of a young patient with a history of drug use and no other predisposing conditions. © 1998 John Wiley & Sons, Inc. J Clin Ultrasound 26:479–482, 1998.