PDF(Pubmed)
Abstract：
SummaryCannabis use is legalised in many countries. We present a patient in their 40s who complained of recurrent abdominal pain and associated nausea and vomiting. The patient was previously seen in various hospitals, treated symptomatically, and discharged with a diagnosis of non-specific abdominal pain. The patient had a chronic history of smoking cannabis and nicotine and drinking alcohol. Abdominal examination revealed no masses, and abdominal X-ray was normal. Blood tests and gastroduodenoscopy revealed no obvious aetiology. Intravenous fluids, together with antiemetics and proton pump inhibitors, were administered. The patient also received counselling and was advised to stop cannabis use. At discharge, the patient was well and asked to come back for review in 2 weeks, and, thereafter monthly for a period of 6 months after stopping cannabis use. The patient reported no recurrent symptoms despite continued cigarette and alcohol use. A suspected cannabinoid hyperemesis syndrome (CHS) became a consideration. Awareness of cannabis-related disorders such as CHS may assist in avoiding costly hospital workups.
摘要：
SummaryCannabis的使用在许多国家都是合法的。我们介绍了一名40多岁的患者，他们抱怨复发性腹痛以及相关的恶心和呕吐。该患者此前曾在多家医院就诊,对症治疗，并诊断为非特异性腹痛而出院。患者有长期吸食大麻和尼古丁和饮酒的病史。腹部检查显示没有肿块,腹部X光片正常.血液检查和胃十二指肠镜检查未发现明显的病因。静脉输液,与止吐药和质子泵抑制剂一起，被管理。患者还接受了咨询，并被建议停止使用大麻。出院时,病人很好，要求在两周内回来复查，and,此后每月停止使用大麻，为期6个月。尽管继续使用香烟和酒精，患者报告没有复发症状。可疑的大麻素剧吐综合征（CHS）成为考虑因素。对CHS等大麻相关疾病的认识可能有助于避免昂贵的医院检查。
