《体内填充物的影像学表现》.pdf

Michael Su, HMS IV Gillian Lieberman, MD March 2004 Body Packing Michael Su, Harvard Medical School IV Gillian Lieberman, MD Michael Su, HMS IV Gillian Lieberman, MD Patient J.P. • 28 y.o. Spanish-speaking man presents to ED • CC: anxiety and mild abd pain • HPI: • Recently arrived on international flight • Anxious “due to stuff in Colombia” • Vague abd pain, constipation • No N/V, no F/C 2 Michael Su, HMS IV Gillian Lieberman, MD Pt J.P. (cont) • SH: Farmer in Colombia; visiting relatives in US (unable to provide contact info) • PMH/PSH/All/Meds: None • Relevant PE: •T 99.0 P 86 BP 120/84 RR 20 O2 100%RA •PERRL, nl size •Mild diffuse abd pain to palpation; no masses •Rectal exam: Hard, impacted stools in vault 3 Michael Su, HMS IV Gillian Lieberman, MD J.P.’s Abd Plain Radiograph: Multiple radiodensities w/ appearance of foreign bodies throughout transverse, descending, and sigmoid colon 4 Robinson et al “Body Smuggling of Illicit Drugs,” Surgery 1993 113:709-11 Michael Su, HMS IV Gillian Lieberman, MD Upon further questioning: • Pt admits to swallowing 76 packets of cocaine in Colombia to smuggle to US • Promised $2000 upon US delivery • Pt missed drug contact in US; now nervous about failure to pass packets