Management of « Body-Packers »

Abstract

“Body-packing” refers to the internal concealment of drugs within the gastrointestinal tract or other orifices. Currently, it represents the most frequent mode of drug smuggling in Europe. Among the substances involved, packing with cocaine or heroin is of most concern. Individuals who refrain from eating or drinking during long-distance flights may be suspected of concealing drugs. The sensitivity of urinary toxicological screening is weak, and the diagnosis is mainly based on abdomen X-ray, or preferentially computed tomography examination. “Body-stuffers” are then kept under medical supervision, for a period of at least 6 hours, with a special attention to hemodynamic and neurological changes. The risk of leakage or rupture of the packets seems directly related to the number and quality of the layers used for packing. Supportive therapy is usually sufficient. Complications are rare, but urgent surgery is required in case of signs of systemic toxicity and/or gastrointestinal obstruction.