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[Intestinal drug transport: a surgical problem?]

H John1, N Renner, R Schönenberger

  • 1Departement Chirurgie, Universitätskliniken des Kantonsspitals Basel.

Helvetica Chirurgica Acta
|December 1, 1994
PubMed
Summary

A 35-year-old man presenting with anxiety and hallucinations was diagnosed with body packer syndrome after passing cocaine. Surgical intervention was required due to a seizure during whole bowel irrigation.

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Area of Science:

  • Emergency Medicine
  • Toxicology
  • Gastroenterology

Background:

  • Body packer syndrome involves concealing illicit drugs within the gastrointestinal tract.
  • Cocaine intoxication poses significant health risks to individuals involved in drug smuggling.

Observation:

  • A 35-year-old male presented with anxiety and hallucinations, later passing a cocaine-filled packet.
  • Abdominal X-ray revealed multiple ingested packets; urine tests confirmed cocaine metabolites.

Findings:

  • The patient experienced a seizure during whole bowel irrigation, necessitating immediate surgical intervention.
  • Surgical evacuation successfully removed 78 cocaine packs (650g), with two found to be leaking.

Implications:

  • This case highlights the critical need for prompt diagnosis and management of body packer syndrome.
  • Surgical intervention is crucial in cases of suspected cocaine intoxication or gastrointestinal complications from ingested drug packets.

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