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Methadone

Methadone Reactions 1704, p241 - 2 Jun 2018 Various toxicities: case report A 32-year-old woman developed narcotic bowel syndrome, acute bowel obstruction, intussusception and acute bowel necrosis during treatment with methadone for severe, unexplained and intermittent abdominal pain [route, dosage, duration of treatment to reactions onsets and outcomes not stated]. The woman presented with nausea and worsening abdominal pain. She had a six month history of severe, unexplained and intermittent abdominal pain. Her medical history was significant for chronic opiate dependence [specific drug not stated]. Currently, she had been receiving methadone for severe, unexplained and intermittent abdominal pain. She had undergone laparoscopic Roux-en-Y gastric bypass weight loss operation twelve years ago and a laparoscopic reduction of an intussusception two years ago at an outside hospital. On examination, she was tachycardic and afebrile. An abdominal examination demonstrated palpable and distended large mass in the right upper quadrant with moderate tenderness, worse on the right side. The woman was taken emergently to the operating room for an exploratory mid-line laparotomy. Operative findings showed a small bowel intussusception, which obstructed the jejunoje-junostomy. The intussusceptum segment was 160cm in length. Manual reduction showed that the entire intussusceptum segment was necrotic and required excision. The http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Reactions Weekly Springer Journals

Methadone

Reactions Weekly , Volume 1704 (1) – Jun 2, 2018

Methadone

Abstract

Reactions 1704, p241 - 2 Jun 2018 Various toxicities: case report A 32-year-old woman developed narcotic bowel syndrome, acute bowel obstruction, intussusception and acute bowel necrosis during treatment with methadone for severe, unexplained and intermittent abdominal pain [route, dosage, duration of treatment to reactions onsets and outcomes not stated]. The woman presented with nausea and worsening abdominal pain. She had a six month history of severe, unexplained and intermittent...
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References (2)

Publisher
Springer Journals
Copyright
Copyright © 2018 by Springer International Publishing AG, part of Springer Nature
Subject
Medicine & Public Health; Drug Safety and Pharmacovigilance; Pharmacology/Toxicology
ISSN
0114-9954
eISSN
1179-2051
DOI
10.1007/s40278-018-46884-0
Publisher site
See Article on Publisher Site

Abstract

Reactions 1704, p241 - 2 Jun 2018 Various toxicities: case report A 32-year-old woman developed narcotic bowel syndrome, acute bowel obstruction, intussusception and acute bowel necrosis during treatment with methadone for severe, unexplained and intermittent abdominal pain [route, dosage, duration of treatment to reactions onsets and outcomes not stated]. The woman presented with nausea and worsening abdominal pain. She had a six month history of severe, unexplained and intermittent abdominal pain. Her medical history was significant for chronic opiate dependence [specific drug not stated]. Currently, she had been receiving methadone for severe, unexplained and intermittent abdominal pain. She had undergone laparoscopic Roux-en-Y gastric bypass weight loss operation twelve years ago and a laparoscopic reduction of an intussusception two years ago at an outside hospital. On examination, she was tachycardic and afebrile. An abdominal examination demonstrated palpable and distended large mass in the right upper quadrant with moderate tenderness, worse on the right side. The woman was taken emergently to the operating room for an exploratory mid-line laparotomy. Operative findings showed a small bowel intussusception, which obstructed the jejunoje-junostomy. The intussusceptum segment was 160cm in length. Manual reduction showed that the entire intussusceptum segment was necrotic and required excision. The

Journal

Reactions WeeklySpringer Journals

Published: Jun 2, 2018

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