Luburich P, Santamaría G, Tomás X, Nogué S, Pujol T, Pomés J, Bordas J M
Servicio de Radiodiagnóstico, Hospital Clínico y Provincial, Barcelona.
Rev Esp Enferm Dig. 1991 Mar;79(3):190-5.
The clinical, radiological and analytical aspects, and the complications observed in 16 cases of swallowing or insertion into the rectum of illicit drugs ("body-packing") are described. The drugs detected were heroin (6 cases), cocaine (5 cases) and cannabis (5 cases). In 15 cases abdominal plain X-rays were useful in the detection of the drug packages, their position and progression in the gastrointestinal tract and the presence of complications. The most valuable finding for radiologic diagnosis was the presence of a radiolucent halo surrounding the drug packages, or "double condom" sign, which was observed in 13/15 cases (87%). Urine analysis was positive for opiates or metabolites of cocaine in 7/9 cases (78%). One case presented acute heroin intoxication and three subjects gastric or intestinal obstruction requiring surgical treatment. In another case a packet, which had been retained in the stomach for five days, was extracted by upper gastrointestinal endoscopy using a Dormia basket with no complications.
本文描述了16例非法药物经吞咽或经直肠塞入体内（“人体藏毒”）的临床、放射学及分析方面的情况，以及观察到的并发症。检测到的药物有海洛因（6例）、可卡因（5例）和大麻（5例）。15例患者的腹部平片有助于检测药物包裹、其在胃肠道中的位置及进展情况以及并发症的存在。放射学诊断最有价值的发现是药物包裹周围存在透光晕，即“双避孕套”征，15例中有13例（87%）观察到该征象。9例中的7例（78%）尿液分析显示鸦片类物质或可卡因代谢物呈阳性。1例出现急性海洛因中毒，3例出现胃或肠梗阻需要手术治疗。另1例胃内滞留5天的包裹通过上消化道内镜用多尔米亚网篮取出，未出现并发症。
