More complications of cocaine

In addition to cardiac and pulmonary problems, users of cocaine and crack cocaine risk gastrointestinal complications such as small or large bowel perforation or intra-peritoneal haemorrhage.

These conditions are more common in younger users, and result from cocaine-induced arterial vasoconstriction causing intestinal ischaemia and mucosal necrosis (JRSM, 2006; 99: 51-2). Pictured are cocaine crystals.


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