Hypoxic brain injury from drug ingestion

Case contributed by Dr Laughlin Dawes

Presentation

This young adult male patient collapsed on an international flight.

Bilateral globus pallidus hypodensity consistent with hypoxic brain injury.

Rounded heterogeneous structures in stomach and bowel (drug packets).

The “knot sign” - an eccentric low density nodule on the drug packet, representing the knot in the condom.

Case Discussion

These findings together suggest drug packet rupture followed by collapse, hypoxia and subsequent brain injury.

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Case information

rID: 7953
Case created: 24th Dec 2009
Last edited: 6th Nov 2015
Inclusion in quiz mode: Included

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