Secondary colonic necrosis. Case report

Abstract

Background: Colonic vascular lesion secondary to verapamil overdose is mediated by free radicals, forming vascular microtrombos and endotoxin generation, being a difficult diagnosis. Clinical Case: A 27-year-old female is admitted with an acute abdomen of 4 days after an event referred for a suicidal attempt due to an overdose of verapamil, operating surgically where there is a right transmural colon necrosis, performing a right hemicolectomy with terminal ileostomy. Conclusions: Recognize and properly treat an acute abdomen, not always reach an adequate diagnosis, so a thorough history could conclude.