Background: Cannabinoid Hyperemesis Syndrome (CHS) is a rare condition first reported in adolescent patients in 2010. It is associated with episodic abdominal pain, emesis, and intractable nausea which resemble cyclical vomiting syndrome (CVS) in the setting of chronic use of cannabis. (5,12). Evidence of CHS treatment effectiveness in children is limited to case studies and [...]

Case Presentation: A 41-year-old female presented with a three-day history of nausea, vomiting, and diffuse abdominal pain radiating to her back. The day prior to admission, the patient started having hematemesis, characterized as “streaks” of blood in her emesis. The patient had recently been in a motor vehicular accident leading to a tibial plateau fracture [...]

Case Presentation: A 23 year-old woman presented with blurry vision and difficulty walking for two weeks. Her family also reported two weeks of progressive memory changes and a 52-pound weight loss over four months. One month prior to presentation, while pregnant at 18 weeks gestation, she was admitted with three months of vomiting and five [...]

Case Presentation: A seventeen year-old male was admitted for two weeks of intractable nausea and vomiting in the setting of daily marijuana use over the last two years. Symptoms were associated with weight loss (9 kg over 2 weeks) and temporarily improved with frequent hot showers (Figure 1). Despite the use of commonly effective antiemetic [...]

Case Presentation: A 50-year-old female with history of seropositive rheumatoid arthritis, peptic ulcer disease, and chronic idiopathic pancreatitis status post Whipple procedure presented with one-week history of nausea, vomiting, and diarrhea. Her symptoms began prior to a cruise vacation, though she denied any other recent travel or sick contacts. The patient endorsed similar episodes up [...]

Case Presentation: Boerhaave’s syndrome, or effort rupture of the esophagus, is a rare and potentially life-threatening surgical emergency occurring in about 3.1/1,000,000 people per year1. We present a case of Boerhaave’s syndrome associated with cannabinoid hyperemesis syndrome (CHS). Discussion: A 21-year-old male with a history of daily marijuana use for the last 5 years presented [...]