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  • Title: Crack cocaine abuse as an undescribed cause of gastric outlet obstruction.
    Author: Tolaque-Aldana YP, Hernández-Rodarte V, Jáquez-Quintana JO.
    Journal: Rev Esp Enferm Dig; 2022 Sep; 114(9):550-551. PubMed ID: 35638772.
    Abstract:
    A 32-year-old male with crack-cocaine abuse for 10 years, 300 g/day. He started with epigastric abdominal pain, intensity 10/10, he went to another hospital where a perforated peptic ulcer was suspected and a laparotomy was performed, with no findings. Subsequently, he started with vomiting and weight loss, on admission, a gastric outlet obstruction (GOO) was suspected and CT scan showed a concentric duodenal growth. An upper endoscopy identified a duodenal bulb stenosis with a Forrest-III ulcer. Roux-en-Y gastrojejunal anastomosis was performed, identifying duodenal thickening, without malignancy.
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