A Curious Case of the Persistent Body Stuffer.
Journal
Case reports in emergency medicine
ISSN: 2090-648X
Titre abrégé: Case Rep Emerg Med
Pays: United States
ID NLM: 101591814
Informations de publication
Date de publication:
2019
2019
Historique:
received:
05
05
2019
accepted:
31
07
2019
entrez:
23
10
2019
pubmed:
23
10
2019
medline:
23
10
2019
Statut:
epublish
Résumé
A 29-year-old male presented to our emergency department with complaint of abdominal pain after allegedly ingesting a 4-gram packet of heroin in an attempt to evade detection. Initial evaluation including computed tomography (CT) of the abdomen/pelvis with intravenous and oral contrast, as well as laboratory workup was negative and the patient was discharged. The patient returned 3 days later with complaint of "I feel high" and severe constipation, and demonstrated an opiate toxidrome requiring naloxone with improvement of symptoms. A repeat CT of the abdomen/pelvis, this time without contrast revealed a 2.1 × 1.8 cm foreign body in the gastric antrum. The patient was promptly taken to endoscopy with surgical backup. Foreign body removal included multiple plastic bags encasing heroin, which had sustained a small leak causing a gastric outlet obstruction as well as a slow opiate toxidrome. The foreign body was removed and the patient was observed and discharged with a favorable outcome.
Identifiants
pubmed: 31637063
doi: 10.1155/2019/3948054
pmc: PMC6766140
doi:
Types de publication
Case Reports
Langues
eng
Pagination
3948054Informations de copyright
Copyright © 2019 Muhammad Durrani et al.
Déclaration de conflit d'intérêts
The authors declare that they have no conflicts of interest.
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