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Drug smuggling by body packing: what radiologists should know about it

  • Forensic Medicine
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Abstract

Body packing is a distinct method for smuggling drugs. What radiologists need to know is discussed in this pictorial review. Radiologists are confronted with diagnostic imaging of body packers because of two main reasons: complications of body packing and identifying drug packets within the gastrointestinal tract. The standard examination used is plain X-ray of the abdomen in an upright and a supine position. Computed tomography is occasionally used but nevertheless described as a very accurate diagnostic tool. Ultrasound and MR imaging do not play an important role in that field. Depending on the purity of the drug, three different forms of attenuation have been described: hashish is denser than stool; cocaine appears similar to stool; and heroin has a gaseous transparence. The packets are of a round to oval form, usually of a particular uniformity and rarely confused with scybala if arranged like a pearl chain; therefore, plain X-ray is the method of choice to detect drug-filled packets within the gastrointestinal tract of body packers.

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References

  1. Bulstrode N, Blanks F, Shrotria S (2002) The outcome of drug smuggling by body packer: British experience. Ann R Coll Surg Engl 84:35–38

    CAS  PubMed  Google Scholar 

  2. Deuel W, Munch U, Zollinger U, Augustiny N, Siegenthaler-Zuber G, Vetter W (1989) Intestinal drug smuggling: a new diagnostic and therapeutic problem. Schweiz Rundsch Med Prax 78:55–61

    CAS  PubMed  Google Scholar 

  3. Lutz FU, Reuhl J (1992) Body packing as a fatal risk: result of a questionnaire survey in Western Europe. Beitr Gerichtl Med 50:211–214

    CAS  PubMed  Google Scholar 

  4. Ichikawa K, Tajima H, Murakami R, Okada S, Hosaka J, Ito K, Yamamoto K, Kumazaki T, Masuno T, Yokota H, Makino T (1997) Diagnostic imaging of body packers. Nippon Igaku Hoshasen Gakkai Zasshi 57:89–93

    Google Scholar 

  5. Meijer R, Bots ML (2003) Detection of drug containers by ultrasound scanning: an airport screening tool? Eur Radiol 13:1312–1315

    CAS  PubMed  Google Scholar 

  6. Freislederer A, Bautz W, Schmidt V (1988) Body packing: the value of modern imaging procedures in the detection of intracorporal transport media. Arch Kriminol 182:143–153

    CAS  PubMed  Google Scholar 

  7. Freislederer A, Sauer W, Graw M, Schmidt V (1989) Body packing: detection of incorporated drug packets using ultrasound techniques. Beitr Gerichtl Med 47:187–191

    CAS  PubMed  Google Scholar 

  8. Wackerle B, Rupp N, Clarmann M von, Kahn T, Heller H, Feuerbach S (1986) Demonstration of narcotic packages in “body packers” by various imaging methods. In vitro and in vivo investigations. Fortschr Roentgenstr 145:274–277

    CAS  Google Scholar 

  9. Pokieser H (1987) Roentgenologischer Nachweis verschluckter Rauschgiftpaeckchen (body packing). Richtlinien fuer das Zentrale Institut fuer Radiodiagnostik Universitaet Wien

  10. Urban BA, Fishman EK (2000) Tailored helical CT evaluation of the acute abdomen. RadioGraphics 20:725–749

    CAS  PubMed  Google Scholar 

  11. Baker SR (1999) Plain films and cross-sectional imaging for acute abdominal pain: unresolved issues. Semin Ultrasound CT MR 20:142–147

    CAS  PubMed  Google Scholar 

  12. Luburich P, Santamaria G, Thomas X, Nogue S, Pujol T, Pomes J, Bordas JM (1991) The gastrointestinal concealment of illegal drugs. Rev Esp Enferem Dig 79:190–195

    CAS  Google Scholar 

  13. Caruana DS, Weinbach B, Georg D, Gardner LB (1984) Cocaine packet ingestion. Ann Intern Med 100:73–74

    CAS  PubMed  Google Scholar 

  14. Heinemann A, Miyaishi S, Iwersen S, Schmoldt A, Puschel K (1998) Body packing as cause of sudden death. Forensic Sci Int 92:1–10

    Article  CAS  PubMed  Google Scholar 

  15. Wehr K, Alzen G (1989) Perfected professional body packing. Z Rechtsmed 103:63–68

    CAS  PubMed  Google Scholar 

  16. Traub SJ, Kohn GL, Hoffman RS, Nelson LS (2003) Pediatric body packing. Arch Pediatr Adolesc Med 157:174–177

    PubMed  Google Scholar 

  17. Rouse DA, Fysh R (1992) Body packing presenting as sudden collapse. Med Sci Law 32:270–271

    CAS  PubMed  Google Scholar 

  18. Wetli CV, Rao A, Rao VJ (1997) Fatal heroin body packing. Am J Forensic Med Pathol 18:312–318

    Article  CAS  PubMed  Google Scholar 

  19. Hierholzer J, Cordes M, Tantow H, Keske U, Maurer J, Felix R (1995) Drug smuggling by ingested cocaine-filled packages: conventional X-ray and ultrasound. Abdom Imaging 20:333–338

    CAS  PubMed  Google Scholar 

  20. Gherardi R, Marc B, Alberti X, Baud F, Diamant-Berger O (1990) A cocaine body packer with normal abdominal plain radiograms. Value of drug detection in urine and contrast study of the bowel. Am J Forensic Med Pathol 11:154–157

    CAS  PubMed  Google Scholar 

  21. Karhunen PJ, Suoranta H, Penttila A, Pitkaranta P (1992) Pitfalls in the diagnosis of drug smuggler’s abdomen. J Forensic Sci 37:681–682

    PubMed  Google Scholar 

  22. Brown JA, Phang PT, Enns R, Butchart MK, Filipenko JD, Mason AC, Cooperberg PL (2002) Computed tomography to detect body packing: an unusual cause of small bowel obstruction. Can Assoc Radiol J 53:84–86

    PubMed  Google Scholar 

  23. Hutchins KD, Pierre-Luis PJ, Zaretski L, Williams AW, Lin RL, Natarajan GA (2000) Heroin body packing: three fatal cases of intestinal perforation. J Forensic Sci 45:42–47

    CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, ZIR LKH Feldkirch, Carinagasse 47, 6800, Feldkirch, Austria

    Klaus Hergan & Wolfgang Oser

  2. Customs Police, 6800, Feldkirch Tisis, Austria

    Karl Kofler

Authors
  1. Klaus Hergan
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  2. Karl Kofler
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  3. Wolfgang Oser
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Correspondence to Klaus Hergan.

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Hergan, K., Kofler, K. & Oser, W. Drug smuggling by body packing: what radiologists should know about it. Eur Radiol 14, 736–742 (2004). https://doi.org/10.1007/s00330-003-2091-5

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  • DOI: https://doi.org/10.1007/s00330-003-2091-5

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