Bulakci Mesut, Cengel Ferhat
1 Department of Radiology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey.
2 Department of Radiology, Haseki Training and Research Hospital, Istanbul, Turkey.
Br J Radiol. 2016;89(1060):20150888. doi: 10.1259/bjr.20150888. Epub 2016 Jan 21.
Emergency physicians and radiologists have been increasingly encountering internal concealment of illegal drugs. The packages commonly contain powdered solid drugs such as cocaine, heroin, methamphetamine and hashish, but they may also contain cocaine in the liquid form. The second type of package has recently been more commonly encountered, and poses a greater diagnostic challenge. As clinical evaluation and laboratory tests frequently fail to make the correct diagnosis, imaging examination is typically required. Imaging methods assume a vital role in the diagnosis, follow-up and management. Abdominal X-ray, ultrasonography, CT and MRI are used for the imaging purposes. Among the aforementioned methods, low-dose CT is state-of-the-art in these cases. It is of paramount importance that radiologists have a full knowledge of the imaging characteristics of these packages and accurately guide physicians and security officials.
急诊医生和放射科医生越来越多地遇到非法药物的体内藏匿情况。这些包裹通常含有可卡因、海洛因、甲基苯丙胺和大麻等粉末状固体药物，但也可能含有液体形式的可卡因。最近第二种类型的包裹更常见，并且带来了更大的诊断挑战。由于临床评估和实验室检查常常无法做出正确诊断，通常需要进行影像学检查。影像学方法在诊断、随访和管理中起着至关重要的作用。腹部X线、超声、CT和MRI都用于影像学检查目的。在上述方法中，低剂量CT在这些病例中是最先进的。放射科医生充分了解这些包裹的影像学特征并准确指导医生和安全官员至关重要。
