Body stuffing during apprehension resulting in distal esophageal impaction: a case report and review of the literature.

BACKGROUND: Body stuffing and body packing are two methods of concealing illicit drugs. Body stuffing is defined as the oral ingestion of illicit drugs, typically to avoid law enforcement detection or other consequences of possession, and may present a serious medical emergency in patients. Most commonly, body stuffers ingest possibly large or unknown quantities of illicit substances to avoid detection of the drugs during apprehension. This ingestion is typically hasty or impulsive, and therefore the substances ingested are rarely packaged in a way that would be considered safe for ingestion. CASE PRESENTATION: This case highlights a series of rare complications of impacted esophageal foreign body including esophageal edema, pericarditis, and hydro-pneumothorax for a 16-year-old Hispanic male who was booked into a county juvenile detention and rehabilitation facility. He complained of persistent intractable epigastric pain, along with pleuritic chest pain with multiple episodes of vomiting over the previous 4 days. He denied swallowing any foreign body. He underwent esophagogastroduodenoscopy, and a plastic bag with content suspicious for marijuana was discovered in the distal esophagus and removed. CONCLUSIONS: Failure to consider body stuffing and foreign body impaction in individuals during medical evaluation in detention centers with complaints of chest pain, abdominal pain, dysphagia, and/or certain toxidromes can delay diagnosis and lead to a variety of medical complications.

Self-organization of Zr(IV) porphyrinoids on graphene oxide surfaces by axial metal coordination.

The protruding oxophilic central metal ion of Zr(IV) porphyrinoids facilitates axial coordination to the oxygen bearing functional groups on graphene oxide (GO) surfaces to result in new supramolecular photonic materials with high dye loading especially on edges and large defects. The reaction proceeds at room temperature with GO dispersed in tetrahydrofuran and GO films on glass. Since the Zr(IV) serves as a conduit, the photophysical properties of the dye sensitized GO derive from both the axially bound chromophores and the GO substrate. Self-organization of metalloporphyrinoids on GO mediated by axial coordination of group (IV) metal ions allows for direct sensitization of graphene and graphenic materials without requiring covalent chemistries with poorly conducting linkers.