title: Incidentalomas revealed by abdominopelvic computed tomography scans performed in body packers.
abstract: BACKGROUND
  Body packing is the transport of internally concealed narcotic substances. These may take the form of pellets or sachets, ingested or inserted per anus or per vagina. In France, abdominopelvic scanning without contrast-medium injection is used to check the complete evacuation of ingested narcotics. This sometimes leads to the discovery of incident pathologies, also known as "incidentalomas."
  
  
  OBJECTIVE
  Our study described incidentaloma detected by abdominopelvic computed tomography (CT) scanning in body packers. This monocentric prospective study concerned 100 CT scan images from body packers managed in our secure medical unit between September 2009 and April 2010.
  
  
  RESULTS
  Thirty-one incidentalomas were discovered on 18 abdominopelvic CT scans, including 2 women. Ten CT scan examinations revealed 1 suspect image, 5 scans included 5 suspect images, 2 scans included 3 suspect images, and 1 scan included 5 suspects images. Once the complete evacuation of all foreign bodies is confirmed, and in the absence of any surgical or medical emergency, incidentaloma management is entrusted to the prison doctors.
authors.affiliation: From the *Unité de Pathologies Professionnelles, Hôpital Raymond Poincaré, Assistance Publique-Hôpitaux de Paris, Garches; and †Urgences Médico-Judiciaires, Hôpital de l'Hôtel-Dieu, Assistance Publique-Hôpitaux de Paris, Paris, France.
authors.forename: Zakia
authors.initials: Z
authors.lastname: Médiouni
authors.forename: Melody
authors.initials: M
authors.lastname: Steffen
authors.forename: Bertrand
authors.initials: B
authors.lastname: Bécour
mesh_terms: D000293:Adolescent; D000307:Adrenal Gland Diseases / Q000000981:diagnostic imaging; D000328:Adult; D000368:Aged; D001202:Ascitic Fluid / Q000000981:diagnostic imaging; D002114:Calcinosis / Q000000981:diagnostic imaging; D003415:Crime; D003560:Cysts / Q000000981:diagnostic imaging; D004066:Digestive System Diseases / Q000000981:diagnostic imaging; D005260:Female; D005547:Foreign Bodies / Q000000981:diagnostic imaging*; D006554:Hernia, Umbilical / Q000000981:diagnostic imaging; D006801:Humans; D033162:Incidental Findings; D007403:Intervertebral Disc / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D009294:Narcotics; D010049:Ovarian Diseases / Q000000981:diagnostic imaging; D011446:Prospective Studies; D016658:Psoas Muscles / Q000000981:diagnostic imaging / Q000293:injuries; D013158:Splenic Diseases / Q000000981:diagnostic imaging; D036542:Tomography, Spiral Computed; D014513:Ureter / Q000002:abnormalities / Q000000981:diagnostic imaging; D014545:Urinary Calculi / Q000000981:diagnostic imaging; D014599:Uterus / Q000002:abnormalities; D055815:Young Adult
chemical_list: D009294:Narcotics