Opioid Withdrawal Misdiagnosed as a Crohn's Flare.

IF 0.5 Q4 GASTROENTEROLOGY & HEPATOLOGY

Case Reports in Gastroenterology Pub Date : 2025-06-13 eCollection Date: 2025-01-01 DOI:10.1159/000546335

Matthew Christopher Ryan, Marcel Jose Yibirin Wakim, Sebastian Suarez

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Abstract

Introduction: There is an increased incidence of opioid use disorder (OUD) originating from prescription misuse. Diagnosing OUD remains challenging, particularly in patients with multiple medical comorbidities where other potential etiologies may cause overlapping symptoms.

Case presentation: This report highlights a 28-year-old male with Crohn's disease (CD) with recurrent hospitalizations of abdominal pain, hematuria, nausea, vomiting, and diarrhea. An extensive workup was negative for a Crohn's flare; however, the patient's symptoms improved within 48 h of admission, coinciding with opioid administration for pain management. Subsequently, the patient was diagnosed with opioid withdrawal and discharged with a buprenorphine clinic appointment to initiate medications for OUD.

Conclusion: This case highlights the complexity of diagnosing opioid withdrawal in a patient with CD and the persistent stigma in the healthcare community regarding persons who use opioids.

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阿片类药物戒断被误诊为克罗恩病。

导论：阿片类药物使用障碍（OUD）的发生率增加源于处方滥用。诊断OUD仍然具有挑战性，特别是在患有多种医学合并症的患者中，其他潜在病因可能导致症状重叠。病例介绍：本报告报告了一位28岁男性克罗恩病（CD）患者，因腹痛、血尿、恶心、呕吐和腹泻反复住院。大量的检查没有发现克罗恩病的耀斑；然而，患者的症状在入院后48小时内改善，与阿片类药物治疗疼痛一致。随后，患者被诊断为阿片类药物戒断，并在丁丙诺啡诊所预约开始治疗OUD。结论：本病例突出了诊断乳糜泻患者阿片类药物戒断的复杂性，以及医疗保健社区对使用阿片类药物的人的持续耻辱。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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