Acute Megacolon (Ogilvie’s Syndrome) in Acute Cannabis Intoxication in a Ten-Month Old Infant

Aim of work: Cannabis is the most frequently abused illicitsubstance in Egypt. An increase in the number of cases of pediatric accidental cannabis poisoning has been documented. We described a case of accidental cannabis poisoning with acute mega colon in a ten month old infant in Zagazig University hospitals.

Findings: Clinical presentation included reduced level of consciousness, vomiting, severe abdominal distention, hypotonia,and shock. Abdominal scan showed severe colonic dilatation without mechanical obstruction. Tetrahydrocannabinol (THC) was detected by urine screening for cannabinoids and confirmed by HPLC. The patient was admitted to PICU and treated with supportive care. The patient recovered uneventfully and was discharged after 24 hours of admission. This case represents the first case of megacolon in accidental cannabis poisoning in previously healthy infant.