title: Failure of surgical treatment in methamphetamine body-stuffers.
abstract: Body stuffing is defined as ingestion of unpackaged or packaged illicit drugs in a quick process. The drugs have usually been wrapped loosely in cellophane, plastic bags, paper, or aluminum foil. Methamphetamine toxicity is a dangerous state that occurs during methamphetamine leakage from the ingested packages in the gastrointestinal tract. This is usually occurring with cocaine and heroin, but methamphetamine body stuffing may less commonly happen, as well. Accordingly, management of methamphetamine body-stuffers is an important subject that has remained a controversy in clinical and legal aspects. We have reported two body-stuffer cases who underwent exploratory laparotomy. Although surgery was done, it was not useful to exit packs and even led to severe methamphetamine toxicity. These cases show that surgical treatment may be ineffective and even harmful in body-stuffers. On the other hand, this report suggests that pre and post-operation abdominal CT-scan is necessary for evaluating surgical treatment in patients who are still symptomatic.
authors.affiliation: Department of Radiology, Loghman-Hakim Hospital, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Hooman
authors.initials: H
authors.lastname: Bahrami-Motlagh
authors.affiliation: Department of Clinical Toxicology, Loghman-Hakim Hospital, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address: hassanian@sbmu.ac.ir.
authors.forename: Hossein
authors.initials: H
authors.lastname: Hassanian-Moghaddam
authors.affiliation: Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Behdad
authors.initials: B
authors.lastname: Behnam
authors.affiliation: Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Mehran
authors.initials: M
authors.lastname: Arab-Ahmadi
mesh_terms: D000328:Adult; D003415:Crime; D005547:Foreign Bodies / Q000000981:diagnostic imaging* / Q000601:surgery*; D041981:Gastrointestinal Tract / Q000000981:diagnostic imaging; D006801:Humans; D013287:Illicit Drugs / Q000633:toxicity*; D008297:Male; D008694:Methamphetamine / Q000633:toxicity*; D014057:Tomography, X-Ray Computed
chemical_list: D013287:Illicit Drugs; D008694:Methamphetamine
keywords: Body stuffer; Laparotomy; Methamphetamine toxicity; Mule; Operative; Surgical procedures