The role of radiology in diagnosis and management of drug mules: an update with new challenges and new diagnostic tools

作者: Mesut Bulakci , Ferhat Cengel

DOI: 10.1259/BJR.20150888

关键词: Substance Abuse DetectionDrugMedical imagingDiagnostic toolsHeroinPhysical examinationUltrasonographyClinical evaluationRadiologyMedicine

摘要: Emergency physicians and radiologists have been increasingly encountering internal concealment of illegal drugs. The packages commonly contain powdered solid drugs such as cocaine, heroin, methamphetamine hashish, but they may also cocaine in the liquid form. second type package has recently more encountered, poses a greater diagnostic challenge. As clinical evaluation laboratory tests frequently fail to make correct diagnosis, imaging examination is typically required. Imaging methods assume vital role follow-up management. Abdominal X-ray, ultrasonography, CT MRI are used for purposes. Among aforementioned methods, low-dose state-of-the-art these cases. It paramount importance that full knowledge characteristics accurately guide security officials.

参考文章(75)
N Bulstrode, F Banks, S Shrotria, The outcome of drug smuggling by 'body packers': the British experience Annals of The Royal College of Surgeons of England. ,vol. 84, pp. 35- 38 ,(2002)
Pekka J. Karhunen, Hannu Suoranta, Antti Penttilä, Pekka Pitkäranta, Pitfalls in the diagnosis of drug smuggler's abdomen. Journal of Forensic Sciences. ,vol. 36, pp. 397- 402 ,(1991) , 10.1520/JFS13042J
Takahiro Yamamoto, Elisa Malavasi, John R.H. Archer, Paul I. Dargan, David M. Wood, Management of body stuffers presenting to the emergency department. European Journal of Emergency Medicine. ,vol. 23, pp. 425- 429 ,(2016) , 10.1097/MEJ.0000000000000277
Joel Aissa, Christian Rubbert, Johannes Boos, Christoph Schleich, Christoph Thomas, Patric Kröpil, Gerald Antoch, Falk Miese, Low-tube voltage 100 kVp MDCT in screening of cocaine body packing: image quality and radiation dose compared to 120 kVp MDCT Abdominal Imaging. ,vol. 40, pp. 2152- 2158 ,(2015) , 10.1007/S00261-015-0464-2
P Flach, M Thali, S Ross, Forensic and Clinical Usage of X-rays in Body Packing CRC Press. ,(2011)
C. V. Wetli, R. E. Mittleman, The "body packer syndrome"-toxicity following ingestion of illicit drugs packaged for transportation. Journal of Forensic Sciences. ,vol. 26, pp. 492- 500 ,(1981) , 10.1520/JFS11390J
O. M. Jones, B. A. Shorey, Body packers: grading of risk as a guide to management and intervention. Annals of The Royal College of Surgeons of England. ,vol. 84, pp. 131- 132 ,(2002)
Kenneth D Hutchins, Phito JB Pierre-Louis, Leonard Zaretski, A Wayne Williams, Reng-Lang Lin, Geetha A Natarajan, None, Heroin body packing: three fatal cases of intestinal perforation. Journal of Forensic Sciences. ,vol. 45, pp. 42- 47 ,(2000) , 10.1520/JFS14639J
A.W. Horrocks, Abdominal radiography in suspected ‘body packers’ Clinical Radiology. ,vol. 45, pp. 322- 325 ,(1992) , 10.1016/S0009-9260(05)80084-4
Jeffrey S. Miller, Samantha K. Hendren, Kathleen R. Liscum, Giant gastric ulcer in a body packer. Journal of Trauma-injury Infection and Critical Care. ,vol. 45, pp. 617- 619 ,(1998) , 10.1097/00005373-199809000-00037