@article{ref1,
title="Gastric obstruction by opium packets: a case report",
journal="Addiction and health",
year="2022",
author="Ramazani, Yeganeh and Nemati, Ahmad and Moshiri, Mohammad and Motie, Mohammad Reza and Jomehpour, Hamid and Etemad, Leila",
volume="14",
number="4",
pages="309-311",
abstract="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. <br><br>CONCLUSION: A large number of ingested drug packets can induce gastrointestinal obstruction.<p /> <p>Language: en</p>",
language="en",
issn="2008-4633",
doi="10.34172/ahj.2022.1336",
url="http://dx.doi.org/10.34172/ahj.2022.1336"
}