The "cocaine body packer" syndrome. Case report and review of the literature.

ABSTRACT

The cocaine body packer syndrome is seen in drug traffickers swallowing hermetically packed cocaine. The condition can be diagnosed by serial abdominal roentgenograms. The double condom sign and the rosette form are two pathognomonic radiological signs. In the absence of complications, laxatives are administered and the patient is monitored for a prolonged period of time. In the event of a cocaine intoxication due to rupture of a package or in case of a gastrointestinal obstruction, an emergency surgical exploration should be carried out.