Cannabinoid hyperemesis syndrome: a cause of refractory nausea and vomiting in pregnancy.

Abstract:

BACKGROUND:Cannabinoid hyperemesis syndrome is a condition present among chronic cannabis users resulting in abdominal pain, intractable nausea and vomiting, and compulsive bathing behaviors. Given the recent legalization of marijuana in certain areas of the United States, the incidence of this condition may increase among pregnant women. CASE:We report the case of a pregnant 28-year-old woman with multiple admissions for episodic nausea and vomiting resulting in Mallory-Weiss esophageal tears, dehydration, and abdominal pain who was noted to be showering compulsively during her hospitalizations. After an extensive workup for the etiology of her intractable nausea and pain, she was diagnosed with cannabinoid hyperemesis syndrome, which is treated simply with abstinence from marijuana use. CONCLUSION:Cannabinoid hyperemesis syndrome should be considered in pregnant women with intractable nausea relieved by frequent hot bathing. By considering this diagnosis, extensive diagnostic testing can be avoided and the correct therapy, abstaining from cannabis use, can be recommended.

journal_name

Obstet Gynecol

authors

Alaniz VI,Liss J,Metz TD,Stickrath E

doi

10.1097/AOG.0000000000000595

subject

Has Abstract

pub_date

2015-06-01 00:00:00

pages

1484-1486

issue

6

eissn

0029-7844

issn

1873-233X

pii

00006250-201506000-00030

journal_volume

125

pub_type

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