Literature DB >> 33633839

Case Report: Don't chew the fufu: a case report of suspected drug bodystuffing.

Naya Jimenez1, Nguyen Toan Tran2,3, Pierre-Alexandre Poletti4, Alexandra Platon4, Francesco Meach2, André Juillerat1, Laurent Getaz2, Hans Wolff2.   

Abstract

Background: Intrabody concealment of illicit substances is a common practice in the trafficking chain. Bodystuffing, which consists of precipitously swallowing packets of substances for concealment from law-enforcement officers in anticipation of impending search or arrest, is particularly dangerous. There is a risk of rupture of the loosely wrapped drug packets, which could lead to substance intoxication or even death. Case presentation:  This article reports the case of a young man who was taken by law enforcement authorities to our Emergency Department for investigation of bodystuffing. Although the patient denied the facts, the initial reading of the computed tomography (CT) scan confirmed the presence of multiple images compatible with drug packets, which were mostly in the stomach. Upon admission to our secured inpatient ward for clinical surveillance of packet evacuation, the patient denied again having ingested such packets, and declared that he only ate 'fufu'. Fufu is a traditional food of central and western Africa consisting of a starchy preparation compacted by hand into small balls. Fufu balls are usually swallowed without chewing to allow a sensation of stomach fullness throughout the day. Considering the fufu intake history, a careful reassessment of the imaging confirmed the presence of food content. Conclusions: This case study offers an example of bodystuffing false positive due to fufu. It illustrates the importance of a history of food intake that could bias the interpretation of CT scan images. Copyright:
© 2019 Jimenez N et al.

Entities:  

Keywords:  Bodystuffing; bodypacking; fufu/foofoo/foufou; prison; radiology pitfalls

Year:  2019        PMID: 33633839      PMCID: PMC7901499          DOI: 10.12688/f1000research.19966.1

Source DB:  PubMed          Journal:  F1000Res        ISSN: 2046-1402


  16 in total

1.  Body packers: grading of risk as a guide to management and intervention.

Authors:  O M Jones; B A Shorey
Journal:  Ann R Coll Surg Engl       Date:  2002-03       Impact factor: 1.891

2.  "Drug mules" as a radiological challenge: sensitivity and specificity in identifying internal cocaine in body packers, body pushers and body stuffers by computed tomography, plain radiography and Lodox.

Authors:  Patricia M Flach; Steffen G Ross; Garyfalia Ampanozi; Lars Ebert; Tanja Germerott; Gary M Hatch; Michael J Thali; Michael A Patak
Journal:  Eur J Radiol       Date:  2011-12-15       Impact factor: 3.528

3.  Detection of ingested cocaine-filled packets--diagnostic value of unenhanced CT.

Authors:  Sabine Schmidt; Olivier Hugli; Elena Rizzo; Domenico Lepori; F Gudinchet; Bertrand Yersin; Pierre Schnyder; Jean-Yves Meuwly
Journal:  Eur J Radiol       Date:  2007-09-04       Impact factor: 3.528

4.  Response to "the detection of internal cocaine drug packs: a radiological challenge in the future?".

Authors:  Patricia M Flach; Steffen G Ross; Lars C Ebert; Michael J Thali; Garyfalia Ampanozi
Journal:  Eur J Radiol       Date:  2013-05-28       Impact factor: 3.528

5.  Has the die been cast? Discharge of body stuffers from the Emergency Department.

Authors:  Rachel S Wightman; Lewis S Nelson
Journal:  Eur J Emerg Med       Date:  2017-02       Impact factor: 2.799

6.  Emergency department management of body packers and body stuffers.

Authors:  Liv Heymann-Maier; Lionel Trueb; Sabine Schmidt; Pierre-Nicolas Carron; Olivier Hugli; Eric Heymann; Bertrand Yersin
Journal:  Swiss Med Wkly       Date:  2017-09-12       Impact factor: 2.193

7.  Management of body stuffers presenting to the emergency department.

Authors:  Takahiro Yamamoto; Elisa Malavasi; John R H Archer; Paul I Dargan; David M Wood
Journal:  Eur J Emerg Med       Date:  2016-12       Impact factor: 2.799

8.  Asymptomatic body packers should be treated conservatively.

Authors:  Peter V Glovinski; Morten L Lauritsen; Morten Bay-Nielsen; Birgitte Brandstrup; Thue Bisgaard
Journal:  Dan Med J       Date:  2013-11       Impact factor: 1.240

9.  The cocaine 'body packer' syndrome. Diagnosis and treatment.

Authors:  M M McCarron; J D Wood
Journal:  JAMA       Date:  1983-09-16       Impact factor: 56.272

10.  Contemporary management of drug-packers.

Authors:  J Kelly; M Corrigan; R A Cahill; H P Redmond
Journal:  World J Emerg Surg       Date:  2007-04-20       Impact factor: 5.469

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