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一例因人体藏毒导致小肠梗阻的罕见病例。

An unusual case of small bowel obstruction because of body packing.

作者信息

Boucher Alexandra L, Shah Nikunj, Brynien Daniel H, Bregg Jason M, Yokota Shinichiro

机构信息

College of Medicine, Drexel University, Philadelphia, PA, USA.

Lake Erie College of Osteopathic Medicine, Erie, PA, USA.

出版信息

J Surg Case Rep. 2023 Apr 25;2023(4):rjad207. doi: 10.1093/jscr/rjad207. eCollection 2023 Apr.

Abstract

Body packing is the internal concealment of illicit drugs for the purpose of transportation and evasion of law enforcement. It is associated with medical complications such as acute toxicity from ingested drug, bowel obstruction or perforation. It is rare to require surgical intervention with a small amount of ingested drug packet. Here, we present the case of a young adult male who presented with abdominal pain for 3 days. The patient admitted ingesting a condom filled with suboxone several years ago and denied recent ingestion. The patient was found to have small bowel obstruction with ingested foreign body being a transition point on CT scan, requiring exploratory laparotomy and small bowel resection.

摘要

人体藏毒是指为了运输和逃避执法而将非法药物藏于体内。它会引发一些医学并发症,如摄入药物导致的急性中毒、肠梗阻或肠穿孔。少量摄入的毒品包装引发手术干预的情况较为罕见。在此,我们报告一例年轻成年男性病例,该患者腹痛3天。患者承认数年前吞食过一个装有丁丙诺啡的避孕套,否认近期有吞食行为。CT扫描发现患者存在小肠梗阻,摄入的异物为梗阻点,需要进行剖腹探查和小肠切除术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74bd/10131099/3ee5172d4e69/rjad207f1.jpg

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