Gastric Obstruction by Opium Packets: A Case Report

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...

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Main Authors: Yeganeh Ramazani, Ahmad Nemati, Mohammad Moshiri, Mohammad Reza Motie, Hamid Jomehpour, Leila Etemad
Format: Article
Language:English
Published: Kerman University of Medical Sciences 2023-10-01
Series:Addiction and Health
Online Access:https://ahj.kmu.ac.ir/article_92118_19cad6be62140aeb483eafd51b463b2d.pdf
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author Yeganeh Ramazani
Ahmad Nemati
Mohammad Moshiri
Mohammad Reza Motie
Hamid Jomehpour
Leila Etemad
author_facet Yeganeh Ramazani
Ahmad Nemati
Mohammad Moshiri
Mohammad Reza Motie
Hamid Jomehpour
Leila Etemad
author_sort Yeganeh Ramazani
collection DOAJ
description 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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spelling doaj.art-2c071fed980c44e2a7b16192abe93f3d2023-09-04T06:42:13ZengKerman University of Medical SciencesAddiction and Health2008-46332008-84692023-10-011443091110.34172/ahj.2022.133692118Gastric Obstruction by Opium Packets: A Case ReportYeganeh Ramazani0Ahmad Nemati1Mohammad Moshiri2Mohammad Reza Motie3Hamid Jomehpour4Leila Etemad5Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranStudent Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran1. Medical Toxicology Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran 2. Department of Clinical Toxicology and Poisoning, Imam Reza (p) Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranSurgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, IranDrug Control Headquarters of the Islamic Republic of IranPharmaceutical Research Center, Pharmaceutical Technology Institute, Mashhad University of Medical Sciences, Mashhad, IranBackground: 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.https://ahj.kmu.ac.ir/article_92118_19cad6be62140aeb483eafd51b463b2d.pdf
spellingShingle Yeganeh Ramazani
Ahmad Nemati
Mohammad Moshiri
Mohammad Reza Motie
Hamid Jomehpour
Leila Etemad
Gastric Obstruction by Opium Packets: A Case Report
Addiction and Health
title Gastric Obstruction by Opium Packets: A Case Report
title_full Gastric Obstruction by Opium Packets: A Case Report
title_fullStr Gastric Obstruction by Opium Packets: A Case Report
title_full_unstemmed Gastric Obstruction by Opium Packets: A Case Report
title_short Gastric Obstruction by Opium Packets: A Case Report
title_sort gastric obstruction by opium packets a case report
url https://ahj.kmu.ac.ir/article_92118_19cad6be62140aeb483eafd51b463b2d.pdf
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