Gastric Obstruction by Opium Packets: A Case Report.

Addiction and Health Pub Date : 2022-10-01 DOI:10.34172/ahj.2022.1336

Yeganeh Ramazani, Ahmad Nemati, Mohammad Moshiri, Mohammad Reza Motie, Hamid Jomehpour, Leila Etemad

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Abstract

Background: We reported a case of gastric obstruction in a body packer who swallowed a large number of opium packets.

Case report: A 36-year-old man opium addict visited the emergency department with epigastric pain for three days. He swallowed nearly 90 packets of opium for smuggling purposes four days earlier. He self-administered laxatives. In contrast, many times vomiting, he defecated only four packets and vomited one packet. The abdominal X-rays showed some amounts of fluid-air levels and multiple cylindrical opacities with the double-condom sign, corresponding to the distended stomach. Due to the worsening of his abdominal symptoms, he underwent an urgent laparotomy and 84 packets (4-6 cm in size and 8-10 g/ packet of opium) with a total weight of 870 g. They were wrapped in some layers of plastic and tied at the ends. He was discharged in stable condition.

Conclusion: A large number of ingested drug packets can induce gastrointestinal obstruction.

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鸦片致胃梗阻1例。

背景:我们报告了一例胃梗阻的尸体包装谁吞下大量的鸦片包。病例报告:一名36岁男性鸦片成瘾者因胃脘痛3天就诊急诊科。四天前，他为了走私目的吞下了近90包鸦片。他自己服用泻药。相比之下，多次呕吐，他只排便4包，呕吐1包。腹部x光片显示一定量的液体-空气水平和多个圆柱形混浊物，伴有双套征，与胃膨胀相对应。由于他的腹部症状恶化，他接受了紧急剖腹手术和84包(4-6厘米大小，8-10克/包鸦片)，总重量为870克。它们被包裹在几层塑料中，并在末端打结。他出院时情况稳定。结论:大量服药可引起胃肠道梗阻。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Addiction and Health

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10 weeks