Division of Medical Toxicology, Ronald O. Perelman Department of Emergency Medicine, NYU Grossman School of Medicine, New York, NY, USA.
Division of Pediatric Emergency Medicine, Ronald O. Perelman Department of Emergency Medicine, NYU Grossman School of Medicine, New York, NY, USA.
Clin Toxicol (Phila). 2023 Jul;61(7):559-560. doi: 10.1080/15563650.2023.2227760. Epub 2023 Jul 5.
To highlight the similarity between madd fruit seeds and enteral drug concealment ("body packing") on computed tomography when evaluated by Hounsfield Units.
A 13-year-old girl from Senegal presented to the Emergency Department with severe abdominal pain. Examination showed right lower quadrant tenderness with rebound. Computed tomography scan of the abdomen and pelvis revealed smooth, well circumscribed, multiple intraluminal foreign bodies measuring up to 2 cm in size with Hounsfield Units measuring up to 200. The emergency department radiologist reported that these were suspicious for "body packer packets" of either opioids or cocaine, based on their appearance and Hounsfield Unit characteristics. Dietary history later revealed consuption of madd fruit () seeds, which can cause bezoar formation and intestinal obstruction.
Madd fruit seeds may appear similar to drug packets on computed tomography with similar Hounsfield Unit characteristics. History and clinical context are paramount to avoid misdiagnosis.
强调 madd 果种子与肠道药物隐藏（“体内藏毒”）在通过亨氏单位评估时的相似性。
一名来自塞内加尔的 13 岁女孩因剧烈腹痛到急诊科就诊。检查显示右下腹有压痛和反弹痛。腹部和骨盆的计算机断层扫描显示光滑、边界清晰的多个腔内异物，大小达 2 厘米，亨氏单位测量值高达 200。急诊放射科医生根据其外观和亨氏单位特征报告说，这些疑似“体内藏毒者”藏有阿片类药物或可卡因。饮食史后来显示摄入了 madd 果种子，这可能导致胃结石形成和肠梗阻。
madd 果种子在计算机断层扫描上可能与具有相似亨氏单位特征的药物包相似。病史和临床背景至关重要，以避免误诊。
