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Pitfalls in the Diagnosis of Drug Smuggler's Abdomen

NCJ Number
128905
Journal
Journal of Forensic Sciences Volume: 36 Issue: 2 Dated: (March 1991) Pages: 397-402
Author(s)
P J Karhunen; H Suoranta; A Penttila; P Pitkaranta
Date Published
1991
Length
6 pages
Annotation
Narcotics "body packing" can be detected in abdominal X-rays by the ring shadow caused by air trapped in the packs. In a series of 82 cases admitted for abdominal X-ray in Helsinki, Finland, in 1982 through 1988, we encountered 9 (11.0 percent) true positives, 3 (3.6 percent) false positives, and 1 (1.2 percent) false negatives.
Abstract
The false positives were due to the constipation often associated with narcotics abuse. The false negative X-ray diagnosis was attributable to an inexperienced radiologist. False negatives may also be associated with packets containing marijuana, packs with few wrapping, aluminum-foil coated packs, and machine-packed narcotics. Searching for trapped air in radiographs, repeated X-raying by an experienced radiologist, use of computed tomography, or combined urinary drug screening may be applied to diminish false findings and to avoid unnecessary arrest for the purpose of fecal screening over several days. 2 figures and 17 references (Author abstract)

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