Bahrami-Motlagh Hooman, Hassanian-Moghaddam Hossein, Behnam Behdad, Arab-Ahmadi Mehran
Department of Radiology, Loghman-Hakim Hospital, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Clinical Toxicology, Loghman-Hakim Hospital, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Forensic Leg Med. 2015 May;32:70-2. doi: 10.1016/j.jflm.2015.03.001. Epub 2015 Mar 11.
Body stuffing is defined as ingestion of unpackaged or packaged illicit drugs in a quick process. The drugs have usually been wrapped loosely in cellophane, plastic bags, paper, or aluminum foil. Methamphetamine toxicity is a dangerous state that occurs during methamphetamine leakage from the ingested packages in the gastrointestinal tract. This is usually occurring with cocaine and heroin, but methamphetamine body stuffing may less commonly happen, as well. Accordingly, management of methamphetamine body-stuffers is an important subject that has remained a controversy in clinical and legal aspects. We have reported two body-stuffer cases who underwent exploratory laparotomy. Although surgery was done, it was not useful to exit packs and even led to severe methamphetamine toxicity. These cases show that surgical treatment may be ineffective and even harmful in body-stuffers. On the other hand, this report suggests that pre and post-operation abdominal CT-scan is necessary for evaluating surgical treatment in patients who are still symptomatic.
体内填塞是指在短时间内摄入未包装或已包装的非法药物。这些药物通常被松散地包裹在玻璃纸、塑料袋、纸张或铝箔中。甲基苯丙胺中毒是一种危险状态，发生在胃肠道中摄入的包装内甲基苯丙胺泄漏时。这种情况通常发生在可卡因和海洛因摄入时，但甲基苯丙胺体内填塞也可能较少见。因此，甲基苯丙胺体内填塞者的管理是一个重要课题，在临床和法律方面一直存在争议。我们报告了两例接受剖腹探查术的体内填塞者病例。尽管进行了手术，但取出包装并无效果，甚至导致严重的甲基苯丙胺中毒。这些病例表明，手术治疗在体内填塞者中可能无效甚至有害。另一方面，本报告表明，对于仍有症状的患者，术前和术后腹部CT扫描对于评估手术治疗是必要的。
