Massive pan-gastrointestinal bleeding following cocaine use

Troy Emanuel Gibbons, Kadria Sayed, George Joseph Fuchs

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


Background: An 18-year-old adolescent with cystic fibrosis developed massive gastrointestinal bleeding. Methods: History, physical examination, upper and lower endoscopy and wireless capsule endoscopy were performed. Results: Upper and lower endoscopy did not reveal cause of persistent bleeding. Wireless capsule endoscopy revealed pan-gastrointestinal ischemic injury. Further discussion with the patient revealed recent cocaine ingestion. Conclusion: Most reported cases of gut injury following cocaine abuse describe juxtapyloric and colonic injury; this case demonstrates that ischemic gut injury after cocaine use can be extensive and may be the reason for the associated high mortality.

Original languageEnglish
Pages (from-to)149-151
Number of pages3
JournalWorld Journal of Pediatrics
Issue number2
StatePublished - 2009


  • Cocaine abuse
  • Gastrointestinal bleeding
  • Wireless capsule endoscopy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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