Abstract
Purpose
In this study, we aimed to describe non-contrast abdominal MRI findings in body packers and emphasize the role of this imaging technique in diagnosis of body packing.
Materials and methods
Non-contrast abdominopelvic MRI was performed at the radiology department in 16 suspected body packers that were brought to our hospital, and 13 of them were diagnosed with body packing. We evaluated the presence, location, and shapes of packets as well as signal characteristics on T1- and T2-weighted images.
Results
We came across two types of packets: those containing solid substances (10 cases) and those filled with liquid cocaine (3 cases). Both types were accurately diagnosed with the help of MRI. Only 1 suspected body packer received a false positive diagnosis.
Conclusion
Abdominopelvic MRI is a reliable and valuable method of diagnosing body packing.
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References
Traub SJ, Hoffman RS, Nelson LS (2003) Body packing—the internal concealment of illicit drugs. N Engl J Med 349(26):2519–2526
Taheri MS, Hassanian-Moghaddam H, Birang S, et al. (2008) Swallowed opium packets: CT diagnosis. Abdom Imaging 33:262–266
Hergan K, Kofler K, Oser W (2004) Drug smuggling by body packing: what radiologists should know about it. Eur Radiol 14(4):736–742
Ab Hamid S, Abd Rashid SN, Mohd Saini S (2012) Characteristic imaging features of body packers: a pictorial essay. Jpn J Radiol 30(5):386–392
Yang RM, Li L, Feng J, et al. (2009) Heroin body packing: clearly discerning drug packets using CT. South Med J 102(5):470–475
Pidoto RR, Agliata AM, Bertolini R, et al. (2002) A new method of packaging cocaine for international traffic and implications for the management of cocaine body packers. J Emerg Med 23(2):149–153
Brown JA, Phang PT, Enns R, et al. (2002) Computed tomography to detect body packing: an unusual cause of small bowel obstruction. Can Assoc Radiol J 53:84–86
Aldrighetti L, Graci C, Paganelli M, et al. (1993) Intestinal occlusion in cocaine packet ingestion. Minerva Chir 48:1233–1237
Hutchins KD, Pierre-Louis PJ, Zaretski L, et al. (2000) Heroin body packing: three fatal cases of intestinal perforation. J Forensic Sci 45(1):42–47
Cawich SO, Downes R, Martin AC, et al. (2010) Colonic perforation: a lethal consequence of cannabis body packing. J Forensic Leg Med 17(5):269–271
Schmidt S, Hugli O, Rizzo E, et al. (2008) Detection of ingested cocaine-filled packets—diagnostic value of unenhanced CT. Eur J Radiol 67(1):133–138
Booker RJ, Smith JE, Rodger MP (2009) Packers, pushers and stuffers—managing patients with concealed drugs in UK emergency departments: a clinical and medicolegal review. Emerg Med J 26(5):316–320
Deitel M, Syed AK (1973) Intestinal obstruction by an unusual foreign body. Can Med Assoc J 109(3):211–212
Wong G, Lai K, Chung C (2005) Management of body packers in the emergency department. Hong Kong J Emerg Med 12(2):112–118
Hierholzer J, Cordes M, Tantow H, et al. (1995) Drug smuggling by ingested cocaine-filled packages: conventional x-ray and ultrasound. Abdom Imaging 20:333–338
Niewiarowski S, Gogbashian A, Afaq A, Kantor R, Win Z (2010) Abdominal X-ray signs of intra-intestinal drug smuggling. J Forensic Leg Med 17(4):198–202
Karhunen PJ, Suoranta H, Penttilä A, Pitkäranta P (1991) Pitfalls in the diagnosis of drug smuggler’s abdomen. J Forensic Sci 36(2):397–402
Burillo-Putze G, Becker LT, Rodríguez MG, Torres JS, Nogué S (2012) Liquid cocaine body packers. Clin Toxicol (Phila) 50(6):522–524
de Bakker JK, Nanayakkara PW, Geeraedts LM Jr, et al. (2012) Body packers: a plea for conservative treatment. Langenbecks Arch Surg 397:125–130
Meijer R, Bots ML (2003) Detection of drug containers by ultrasound scanning: an airport screening tool? Eur Radiol 13:1312–1315
Yang RM, Li L, Feng J, et al. (2009) Heroin body packing: clearly discerning drug packets using CT. South Med J 102(5):470–475
Wackerle B, Rupp N, von Clarmann M, et al. (1986) Demonstration of narcotic packages in “body packers” by various imaging methods. In vitro and in vivo investigations. Fortschr Roentgenstr 145:274–277
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Bulakci, M., Ozbakir, B. & Kiris, A. Detection of body packing by magnetic resonance imaging: a new diagnostic tool?. Abdom Imaging 38, 436–441 (2013). https://doi.org/10.1007/s00261-012-9972-5
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DOI: https://doi.org/10.1007/s00261-012-9972-5