Zusammenfassung
Wir berichten über einen 29-jährigen Patienten mit jahrelangem Cannabismissbrauch, der sich mit rezidivierender Übelkeit, Erbrechen und abdominellen Schmerzen vorstellte. Abstinenz von Cannabis führte zum Sistieren der Beschwerden. Bei chronischer, schwerer Übelkeit und Erbrechen, vor allem in Kombination mit abdominellen Schmerzen und zwanghaftem heißen Baden ist bei Ausschluss anderer Ursachen an eine cannabinoidinduzierte Hyperemesis zu denken. Pathophysiologische und therapeutische Implikationen des Falles werden diskutiert.
Abstract
In this case report, we describe a 29 year-old male patient with a history of chronic cannabis abuse presenting with recurrent vomiting, intense nausea and abdominal pain. Abstinence from cannabis resolved both vomiting and abdominal pain. We conclude that in case of chronic cannabis abuse, patients presenting with severe and chronic nausea, vomiting, accompanied by abdominal pain and compulsive behaviour (hot bathing), in the absence of other obvious causes, the diagnosis of cannabinoid-induced hyperemesis syndrome should be considered.
Schlüsselwörter
Cannabis - Cannabinoid-Hyperemesis - Übelkeit - Erbrechen
Keywords
cannabis - cannabinoid-induced hyperemesis - vomiting
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Dr. Martin Lieb
Konsiliardienst Psychiatrie, Klinikum Großhadern
Marchioninistraße 15
81377 München
eMail: martin.lieb@med.uni-muenchen.de
