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Psychiatr Prax 2011; 38(3): 147-149
DOI: 10.1055/s-0030-1266067
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© Georg Thieme Verlag KG Stuttgart · New York

Cannabinoidinduzierte Hyperemesis

Cannabinoid-Induced HyperemesisMartin  Lieb1 , Ulrich  Palm1 , Mathias  Nicolaus2 , Roland  Reibke2 , Thomas  C.  Baghai1
  • 1Klinik und Poliklinik für Psychiatrie, Psychotherapie und Psychosomatik, Ludwig-Maximilians-Universität, München
  • 2Medizinische Klinik, Ludwig-Maximilians-Universität, Klinikum Großhadern, München
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Publication History

Publication Date:
01 April 2011 (online)

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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

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