Body packing

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Background

  • Body packers, also called "mules", swallow or insert drug filled packets into body cavity, usually to smuggle them across borders
  • Packets usually made of several layers of latex and outer wax coating
  • Each packet contains about 10g of drug and body packers ingest between 50 to 100 drug containers at a time[1]
  • Sometimes packets are inserted rectally or vaginally

Clinical Features

  • Situations in which body packers present to the ED:
    • Asymptomatic but in custody
    • Signs of systemic drug toxicity from a ruptured packet
    • Signs of bowel obstruction or perforation

Differential Diagnosis

Evaluation

Management

Disposition

See Also

Ingested foreign body

External Links

References

  1. Booker RJ. Packers, pushers and stuffers--managing patients with concealed drugs in UK emergency departments: a clinical and medicolegal review. Emerg Med J. 2009;26(5):316-20.