Citation

Khajeh F, Safari F, Seyyedi N, Asadian F, Farhadi A, Behzad-Behbahani A. Case Rep. Gastroenterol. 2022; 16(1): 129-134.

Copyright

(Copyright © 2022, Karger Publishers)

DOI

10.1159/000521719

PMID

unavailable

Abstract

Gastric perforation as a multi-etiological disease is a full-thickness injury of the stomach wall. In this case report, we presented a 60-year-old woman with a history of suicidal behavior referred to the emergency unit with a decreased level of consciousness due to the multidrug consumption (amphetamine and benzodiazepine). Passing 3 days of admission in the intensive care unit, the patient represented severe abdominal distension, lack of defecation, and the absence of bowel sound, which suggested the gastrointestinal (GI) complication. Abdominal-pelvic sonography followed by laparotomy confirmed the gastric perforation, which finally led to the patient's death. Pathological analysis showed that the vast involvement of cytomegalovirus (CMV) in the patient's GI tract resulted in several peptic ulcers. The first report of gastric perforation-related death arises from the partnership of CMV infection and drug poisoning. © 2022

Language: en

Keywords

adult; human; female; polymerase chain reaction; case report; hemodialysis; suicide attempt; suicidal behavior; immunohistochemistry; kidney failure; drug overdose; amphetamine; clinical article; drug intoxication; human tissue; middle aged; drowsiness; constipation; edema; sepsis; benzodiazepine; urinalysis; Amphetamine; Glasgow coma scale; Intensive care units; laparotomy; stomach perforation; creatinine; gastroscopy; disseminated intravascular clotting; abdominal distension; dizziness; urea nitrogen blood level; cytomegalovirus infection; peritonitis; Article; consciousness disorder; gastritis; cholecystitis; heart right bundle branch block; ascites; electric burn; cardiopulmonary insufficiency; peptic ulcer; mucosal necrosis; partial gastrectomy; agar gel electrophoresis; amphetamine abuse; cytomegalovirus antigen pp65; Cytomegalovirus infections; defecation disorder; metabolic encephalopathy; Stomach diseases