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Clinical Toxicology 2011-Nov

Cannabis body packing: two case reports.

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Michel Spadari
Danielle Canioni
Emilie Gregoire
Geneviève Drouet
Jean Hubert Bourdon
Jocelyne Arditti
Joelle Micallef

키워드

요약

BACKGROUND

Body packing is a well-known means of narcotic carriage across international borders. The most common drugs carried are cocaine and heroin.

METHODS

We describe 2 cases of cannabis body packing which occurred the same year in the South of France, one with complications: a 45-year-old male went to emergency for abdominal pain. A plain abdominal x-ray revealed multiple foreign bodies in the gastrointestinal tract. It was confirmed by abdominal CT. The laparatomy confirmed peritonitis secondary to colonic perforation, and 34 filled condoms packages were extracted. After calling poison centre, toxicological analysis was performed on one package. The resin wrapped in cellophane contained 15% tetrahydrocannabinol (THC). The patient was discharged on day 12.

CONCLUSIONS

Cannabis body packing is rarely reported, and the only known complications have a mechanic etiology. Plain abdominal x-ray is the best method for detection and it can be confirmed by abdominal CT and toxicological analysis. Cannabis is the most important illicit drug used in the word. Also cannabis body packing is probably underestimated. Health care practitioners should be aware of the possibility of body packing when someone coming back from abroad complains of abdominal pain.

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