Hinchey Stage IV Diverticulitis in a Kratom User.

Kratom is a partial mu-opioid receptor agonist that has gained popularity as an alternative to opioids for self-treatment of pain, anxiety, and opioid withdrawal. Despite its perceived safety, kratom use is associated with numerous adverse effects, including potentially life-threatening complications. We present the case of a 69-year-old male patient with a history of kratom abuse who developed Hinchey stage IV diverticulitis. Kratom's dose-dependent effects, including gastrointestinal disturbances such as constipation, likely contributed to our patient's condition. Understanding what kratom is, including its uses and potential risks, is essential for physicians to provide informed guidance, recognize kratom-related complications, and ensure patient safety.