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. 2009 Oct;52(5):417–421.

Table 3.

Summary of patients undergoing surgical intervention

Patient no. Indication Findings Procedure Outcome
1 Small bowel obstruction Dilated small bowel, packets in stomach and mid–small bowel Gastrotomy and enterotomy 23 packets recovered
2 Strangulated right inguinal hernia Multiple packets in transverse colon with a single perforation Colotomy, loop colostomy and right inguinal hernia repair 40 packets recovered
3 Cocaine toxicity Multiple packets in rectum Manual evacuation under general anesthesia All packets removed, symptoms resolved
4 Cocaine toxicity Multiple packets in stomach, first and fourth part of duodenum Gastrotomy 81 packs recovered
5 Cocaine toxicity Multiple packets in large bowel Packets milked to anal canal 100 packets subsequently passed on ward