title: Cocaine smuggling in the gastrointestinal tract resulting in mechanical pylorostenosis.
abstract: A 45-year-old male, body packer, who confessed to have swallowed 44 packages of cocaine in a total dose of approx. 360 g, was admitted to hospital because of clinical signs of acute intoxication with cocaine followed by ileus. The emergency surgical gastrotomy was initiated, and the conglomerate of Scotch tape and packages with cocaine were removed. Small rupture of one package of cocaine in a body packer stomach caused acute poisoning with cocaine, confirmed additionally by the presence of its metabolites in the urine. Mechanical pylorostenosis provoked by cocaine packages required emergency surgical operation.
authors.affiliation: 1st Clinic of Internal Diseases and Acute Poisonings, Medical University of Gdańsk, Poland. jsanand@amedec.amg.gda.pl
authors.forename: Jacek
authors.initials: J
authors.lastname: Sein Anand
authors.forename: Zygmunt
authors.initials: Z
authors.lastname: Chodorowski
authors.forename: Andrzej
authors.initials: A
authors.lastname: Masal
authors.forename: Livia
authors.initials: L
authors.lastname: Nowak-Banasik
mesh_terms: D000208:Acute Disease; D003042:Cocaine / Q000506:poisoning*; D003415:Crime; D004349:Drug Packaging; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000601:surgery*; D005554:Forensic Medicine; D041981:Gastrointestinal Tract / Q000000981:diagnostic imaging; D005774:Gastrostomy / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D009294:Narcotics / Q000506:poisoning*; D011707:Pyloric Stenosis / Q000209:etiology* / Q000601:surgery*; D011859:Radiography; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D009294:Narcotics; D003042:Cocaine