1/1. Acute pyloric perforation after prolonged crack smoking.A 28-year-old homosexual man, previously healthy, presented with an acute abdomen on the fifth day of his crack binge. Abdominal free air was demonstrated by radiographic studies. Exploratory laparotomy discovered a clean, ulcer-free, pyloric perforation. This unusual case underscores the possibility of a life-threatening visceral perforation after cocaine use.
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keywords = binge
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