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©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Oct 7, 2015; 21(37): 10704-10708
Published online Oct 7, 2015. doi: 10.3748/wjg.v21.i37.10704
Published online Oct 7, 2015. doi: 10.3748/wjg.v21.i37.10704
Extraordinary cause of acute gastric dilatation and hepatic portal venous gas: Chronic use of synthetic cannabinoid
Mert Mahsuni Sevinc, Erdem Kinaci, Savas Bayrak, Ekrem Cakar, Hasan Bektaş, Department of General Surgery, Istanbul Training and Research Hospital, Istanbul 34098, Turkey
Erdem Kinaci, Org. Nafiz Gurman Cad. Istanbul Egitim ve Arastirma Hastanesi, Genel Cerrahi Klinigi, Istanbul 34098, Turkey
Aytul Hande Yardimci, Department of Radiology, Istanbul Training and Research Hospital, Istanbul 34098, Turkey
Author contributions: Sevinc MM, Kinaci E and Bektaş H designed the study; Sevinc MM, Kinaci E, Bayrak S, Yardimci AH and Cakar E analyzed the literature and wrote the study.
Informed consent statement: Written informed consent was obtained for all interventions and follow up.
Conflict-of-interest statement: The authors declare that there is no conflict of interests.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Erdem Kinaci, MD, Org. Nafiz Gurman Cad. Istanbul Egitim ve Arastirma Hastanesi, Genel Cerrahi Klinigi, Fatih, Istanbul 34098, Turkey. erdemkinaci@gmail.com
Telephone: +90-506-5087930
Received: February 2, 2015
Peer-review started: February 3, 2015
First decision: May 18, 2015
Revised: June 19, 2015
Accepted: August 25, 2015
Article in press: August 25, 2015
Published online: October 7, 2015
Processing time: 238 Days and 15.9 Hours
Peer-review started: February 3, 2015
First decision: May 18, 2015
Revised: June 19, 2015
Accepted: August 25, 2015
Article in press: August 25, 2015
Published online: October 7, 2015
Processing time: 238 Days and 15.9 Hours
Core Tip
Core tip: This is the first case of acute gastric dilatation and accompanying hepatic portal venous gas presenting as acute abdomen as a result of chronic use of a synthetic cannabinoid, Bonzai. Despite the findings of acute abdomen, this type of patient can be managed non-surgically with wide spectrum antibiotic therapy and close radiologic and endoscopic follow-up.