Body stuffing during apprehension resulting in distal esophageal impaction: a case report and review of the literature

Journal of Medical Case Reports

卷:16

Case Report

Yuliya Matolina¹  Fanglong Dong¹  Tegan Schmidt¹  Benjamin Archambeau²  Arianna S. Neeki³  Michael M. Neeki⁴  Carlos Peace⁵ 

[1] Department of Emergency Medicine, Arrowhead Regional Medical Center, 400 N. Pepper Ave, 92324, Colton, CA, USA;

[2] Department of Emergency Medicine, Arrowhead Regional Medical Center, 400 N. Pepper Ave, 92324, Colton, CA, USA;California University of Science and Medicine, 92324, Colton, CA, USA;

[3] Department of Emergency Medicine, Arrowhead Regional Medical Center, 400 N. Pepper Ave, 92324, Colton, CA, USA;Department of Probations, San Bernardino County, 92415, San Bernardino, CA, USA;

[4] Department of Emergency Medicine, Arrowhead Regional Medical Center, 400 N. Pepper Ave, 92324, Colton, CA, USA;Department of Probations, San Bernardino County, 92415, San Bernardino, CA, USA;California University of Science and Medicine, 92324, Colton, CA, USA;

[5] Department of Probations, San Bernardino County, 92415, San Bernardino, CA, USA;

关键词: Esophageal foreign body;    Body stuffing;    Pericarditis;    Abdominal pain;    Chest pain;   

DOI  :  10.1186/s13256-022-03628-9

 received in 2022-07-27, accepted in 2022-09-21,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundBody stuffing and body packing are two methods of concealing illicit drugs. Body stuffing is defined as the oral ingestion of illicit drugs, typically to avoid law enforcement detection or other consequences of possession, and may present a serious medical emergency in patients. Most commonly, body stuffers ingest possibly large or unknown quantities of illicit substances to avoid detection of the drugs during apprehension. This ingestion is typically hasty or impulsive, and therefore the substances ingested are rarely packaged in a way that would be considered safe for ingestion.Case presentationThis case highlights a series of rare complications of impacted esophageal foreign body including esophageal edema, pericarditis, and hydro-pneumothorax for a 16-year-old Hispanic male who was booked into a county juvenile detention and rehabilitation facility. He complained of persistent intractable epigastric pain, along with pleuritic chest pain with multiple episodes of vomiting over the previous 4 days. He denied swallowing any foreign body. He underwent esophagogastroduodenoscopy, and a plastic bag with content suspicious for marijuana was discovered in the distal esophagus and removed.ConclusionsFailure to consider body stuffing and foreign body impaction in individuals during medical evaluation in detention centers with complaints of chest pain, abdominal pain, dysphagia, and/or certain toxidromes can delay diagnosis and lead to a variety of medical complications.

【 授权许可】

CC BY   
© The Author(s) 2022. corrected publication 2023

【 图 表 】

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