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[Surgery to save body-packers].

B Mégarbane1, J M Ekhérian, A C Couchard

  • 1Service de réanimation médicale et toxicologique, hôpital Lariboisière, 2, rue Ambroise-Paré, 75010 Paris, France. bruno-megarbane@wanadoo.fr

Annales Francaises D'Anesthesie Et De Reanimation
|May 26, 2004
PubMed
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Cocaine body packing can lead to intestinal obstruction or poisoning. Surgical intervention was necessary for three patients, proving vital for survival in these critical cases.

Area of Science:

  • Toxicology
  • Gastroenterology
  • Emergency Medicine

Background:

  • Cocaine body packing poses significant risks including intestinal obstruction and acute poisoning.
  • This study monitored 17 symptomatic body packers admitted to the intensive care unit over a five-year period.

Observation:

  • Three patients required surgical intervention due to severe complications.
  • Complications included occlusive syndrome, ileal perforation with peritonitis, and gastric bullet disruption leading to ventricular dysrhythmia.

Findings:

  • Surgical management involved laparotomy for packet retrieval, intestinal resection with ileostomy for perforation, and gastric incision for bullet removal.
  • Combined medical therapy (adrenaline, labetalol) was crucial for cardiovascular stabilization in one case.

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Implications:

  • Surgical treatment is essential for managing life-threatening complications in cocaine body packers.
  • Prompt surgical intervention can ensure patient survival in cases of intestinal obstruction, perforation, or severe toxicity.