Elkbuli Adel, Ehrhardt John D, Hai Shaikh, McKenney Mark, Boneva Dessy
Department of Surgery, Kendall Regional Medical Center, Miami, FL, United States.
Department of Surgery, Kendall Regional Medical Center, Miami, FL, United States.
Int J Surg Case Rep. 2019;55:84-87. doi: 10.1016/j.ijscr.2019.01.013. Epub 2019 Jan 29.
Body packing is the use of intra-corporeal packages of illicit drugs for the purpose of smuggling, usually through customs. Clinical cases and experience with body packers has increased since the first report appeared in 1971. These cases remain an uncommon cause of acute drug toxicity and/or bowel obstruction.
A 23 year-old man was brought to the emergency department with seizures. CT imaging revealed numerous intestinal foreign bodies, suspicious for body packing. The patient was stabilized and taken emergently to the operating room for exploratory laparotomy and removal of 34 cocaine packets. Ongoing treatment for cocaine overdose was also utilized. The patient recovered without complications.
This case provides insight and awareness for proper diagnosis and management of body packers by physicians and surgeons alike.
We present a case report of acute cocaine intoxication in a young man who ingested 34 packets of cocaine for means of drug trafficking. Medical approaches are available for cases in which patients remain asymptomatic, but surgical intervention is necessary for those with signs and symptoms of bowel obstruction or drug overdose.
人体藏毒是指利用体内包裹非法药物进行走私，通常是通过海关。自1971年首次报告以来，关于人体藏毒者的临床病例和经验有所增加。这些病例仍然是急性药物中毒和/或肠梗阻的罕见原因。
一名23岁男子因癫痫发作被送往急诊科。CT成像显示肠道内有大量异物，怀疑是人体藏毒。患者病情稳定后紧急送往手术室进行剖腹探查，并取出34个可卡因包裹。同时也对可卡因过量进行了持续治疗。患者康复且无并发症。
该病例为内科医生和外科医生对人体藏毒者进行正确诊断和管理提供了见解和认识。
我们报告了一例年轻男子因贩毒摄入34包可卡因导致急性可卡因中毒的病例。对于无症状的患者可采用医学方法，但对于有肠梗阻或药物过量体征和症状的患者则需要进行手术干预。
