Volume 20, Number 4, 333-338, DOI: 10.1007/BF00203366

Drug smuggling by ingested cocaine-filled packages: conventional x-ray and ultrasound

J. Hierholzer, M. Cordes, H. Tantow, U. Keske, J. Mäurer and R. Felix

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Abstract

Purpose  

To evaluate the imaging characteristics and the diagnostic value of both abdominal ultrasound and conventional abdominal x-ray in identifying ingested drug packages in ldquobody packers.rdquo

Materials and Methods  

Twelve individuals were studied prospectively by abdominal ultrasound and by abdominal x-ray to rule out incorporated drug containers.

Results  

Both abdominal ultrasound and abdominal x-ray correctly identified the 7 of 12 individuals who had ingested multiple drug packages. In 5 of the 12 individuals, ultrasound as well as abdominal x-ray were correctly unremarkable with regard to abdominal foreign bodies.

Conclusions  

Abdominal ultrasound and abdominal x-ray both represent valuable diagnostic tools in the assessment of ingested drug packages. Abdominal x-ray is superior to ultrasound in differentiating ingested drug-filled condoms from ldquopseudocondoms.rdquo

Key words  Cocaine - Body packers - Drug smuggling - Abdominal ultrasound - Abdominal x-ray

An editorial commentary on this article follows on p. 339.

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