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A Curious Case of the Persistent Body Stuffer.
Muhammad Durrani1, Carla Dugas1, Samaresh Dasgupta1
1Inspira Medical Center, Department of Emergency Medicine, Vineland, NJ, USA.
Case Reports in Emergency Medicine
|October 23, 2019
Summary
A patient ingested heroin packets, leading to delayed gastric outlet obstruction and opiate toxicity. Endoscopic removal of the foreign body resolved symptoms, highlighting a rare complication of drug concealment.
Area of Science:
- Gastroenterology
- Toxicology
- Emergency Medicine
Background:
- Drug concealment via ingestion can lead to unpredictable gastrointestinal complications.
- Delayed presentation of foreign body ingestion is possible, mimicking other conditions.
Observation:
- A patient presented with abdominal pain after ingesting heroin packets.
- Initial imaging was negative, but delayed symptoms of opiate toxicity and constipation emerged.
- A subsequent CT scan identified a foreign body in the gastric antrum.
Findings:
- The foreign body consisted of multiple plastic bags containing heroin, with a leak causing gastric outlet obstruction.
- The patient exhibited an opiate toxidrome requiring naloxone (Narcan).
- Endoscopic foreign body removal was successful, leading to symptom resolution.
Implications:
- This case highlights the potential for severe gastrointestinal complications from ingested drug packets.
- Delayed diagnosis is a risk, necessitating thorough evaluation for concealed foreign bodies.
- Endoscopic intervention is a viable treatment for such obstructions.
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