PMC6360268_01
(A): KUB - showing lucency around a packet seen in the stomach. (B): Multiple tubular structures within the stomach/foreign bodies/packets of cocaine. (C): Residual foreign bodies within the lumen of the colon mainly within the splenic flexures suggestive of drug packets.
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Evaluation of the emesis revealed an intact drug packet, prompting radiographic investigation (Fig. 1).
(A): Large distention of small bowel and colon alike, most likely reactive. (B & C): Retrieval of drug (cocaine) packets from the stomach via a gastrotomy; 30 packets were removed from the stomach.
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A surgical gastrostomy was undertaken and thirty drug packets were removed (Fig. 2).
(A): Back-table in OR showing all retrieved drug packets -34 in total. (B): Close-up of individual drug packets (cocaine) removed. (C): Opening of an individual drug packet at back-table showing multiple layers within the packets surrounding or packing the cocaine (white powder) on the inside; outer most layer is a finger glove (light green).
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One of the packets was opened in the operating room to investigate its composition: white powder assumed to be cocaine, wrapped with five layers of thin nylon material, surrounded by an outer layer made from rubber glove fingers (Fig. 3).
(A): Shows EGD findings of multiple packets of drugs (cocaine) in the stomach, unable to be removed by an EGD scope. (B): Plastic bag containing all retrieved drug packets (cocaine) from the 1st surgery, 30 in number.
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All cocaine packets were retrieved by detectives and police officers (Fig. 4).