RESUMEN
BACKGROUND: Cannabinoid hyperemesis syndrome (CHS) is a syndrome characterized by chronic marijuana use, cyclic vomiting, and compulsive bathing. Given the similarities this syndrome shares with hyperemesis gravidarum, it is likely that this is a highly underdiagnosed syndrome. We present a case of severe nausea and vomiting during pregnancy that met the criteria for CHS. CASE: This case outlines the course of recurrent nausea and vomiting due to cannabinoid hyperemesis in a pregnant patient and illustrates the similarities between hyperemesis gravidarum and CHS and the value of obtaining a complete history that includes the use of marijuana. CONCLUSION: Recognition of this syndrome will aid in patient care, lessen the economic burden of an extensive workup, and hopefully lessen provider frustration with diagnosis and treatment of a common and underdiagnosed entity.
Asunto(s)
Cannabinoides/efectos adversos , Conducta Compulsiva/diagnóstico , Hiperemesis Gravídica/diagnóstico , Abuso de Marihuana/diagnóstico , Náusea/diagnóstico , Complicaciones del Embarazo/diagnóstico , Vómitos/diagnóstico , Conducta Compulsiva/inducido químicamente , Diagnóstico Diferencial , Femenino , Humanos , Náusea/inducido químicamente , Embarazo , Complicaciones del Embarazo/inducido químicamente , Síndrome , Vómitos/inducido químicamente , Adulto JovenRESUMEN
Vascular closure devices have been shown to decrease hemostasis and ambulation time after percutaneous transcatheter procedures. The StarClose Vascular Closure System (Abbott Vascular, Redwood City, Calif) is a shape memory clip-mediated device that is designed to provide extraluminal mechanical closure without compromising the arterial lumen. We report a case of iatrogenic arterial occlusion secondary to mechanical closure of the anterior and posterior walls of the common femoral artery with a StarClose device. We provide objective observations from the rescue surgical intervention and discuss potential mechanisms of device failure.