Tanna Ravina, Bostina Roxana, Lloyd Geraint, Patel Nikhil M, Bastianpillai Johan
Surgery, East and North Hertfordshire NHS Trust, Stevenage, GBR.
General and Colorectal Surgery, Royal Berkshire Hospital, London, GBR.
Cureus. 2020 Nov 27;12(11):e11728. doi: 10.7759/cureus.11728.
We present a case of a 39-year-old man who was brought in by ambulance to the ED after ingesting 103 packets of cocaine prior to return to the United Kingdom (UK) from Holland. He presented with a persistent sinus tachycardia and mild abdominal pain but no evidence of peritonitis on examination. Contrast-enhanced CT showed widespread distribution of packets from the stomach to the sigmoid colon. He was taken to theater for emergency laparotomy and retrieval of the packets, which was done successfully without the need of any bowel resection. He was then discharged to police custody following a 10-day admission. This is the highest number of cocaine packets reported in the UK literature. This case report discusses the importance of a multidisciplinary approach in safely managing body packers who also present with signs of cocaine toxicity.
我们报告一例39岁男性病例，该患者在从荷兰返回英国之前摄入了103包可卡因，随后被救护车送往急诊部。他表现为持续性窦性心动过速和轻度腹痛，但检查时未发现腹膜炎迹象。增强CT显示从胃到乙状结肠有广泛分布的包裹。他被送往手术室进行紧急剖腹手术并取出包裹，手术成功完成，无需进行任何肠切除。入院10天后，他被交由警方拘留。这是英国文献中报告的可卡因包裹数量最多的病例。本病例报告讨论了多学科方法在安全管理同时伴有可卡因中毒迹象的人体藏毒者方面的重要性。
