Fatal Cocaine Overdose due to Body Packers Syndrome a Case Report
The Bulletin of Legal Medicine,
Vol. 10 No. 2 (2005)
“Body packers” or “mules” are individuals who swallow or insert into a body cavity, containers or packages filled with illegal drugs for the purpose of smuggling past customs. A case of acute intoxication of cocaine is reported, of which two packages found in the stomach of a 24-year old black male at during autopsy and external examination was unremarkable. The internal examinations, showed edema and generalized congestion of the organs. This case report is about the death of a body packer due to cocaine intoxication following the rupture of a packet of cocaine. This case is represented in order to draw attention to body packing for suspected death cases.
Key words: Cocaine, body packers syndrome, suspected death, autopsy, forensic medicine.
- Birinci Basamak İçin Adli Tıp El Kitabı, TTB ve ATUD, Ankara, 1999: 157-166
- http://www.med.ege.edu.tr/ ~hanci/madde.html, Madde Kullanımı İle İlişkili Bozukluklar, Erişim Tarihi: 18.07.2005
- http://www.emedicine.com, Stephens E. Toxicity, Narcotics. Erişim Tarihi: 28-07-2005
- Alkan N. Paket vücut sendromu. Bağımlılık Dergisi 2004;5(2):35-41.
- Stewart A, Heaton ND, Hogbin B. Body packing — a case report and review of the literature. Postgraduate Medical Journal 1990; 66:659-661.
- Glass JM, Scott HJ. Surgical mules: The smuggling of drugs in the gastrointestinal tract. Journal of the Royal Society of Medicine 1995; 88:450-453.
- Joynt BP, Mikhael NZ. Sudden death of a heroin body packer. Journal of Analytical Toxicology 1985; 9:238-240.
- Heinemann A, Miyaishi S, Iwersen S, Schmoldt A, Puschel K. Body-packing as cause of unexpected sudden death. Forensic Science International 1998; 92:1-10.
- Aks S, Vander Hoek TL, Hvyhorczuk DO, Negrusz A, Tebbett I. Cocaine liberation from body packets in an in vitro model. Annals of Emergency Medicine 1992; 21:1321-1325.
- Wetli CV, Mittleman RE. The ‘Body Packer Syndrome’—toxicity following ingestion of illicit drugs packaged for transportation. Journal of Forensic Science 1981; 26:492-500.
- Beck NE, Hale JE. Cocaine body packers. The British Journal of Surgery 1993; 80:1513-1516.
- Çantana DS, Weinbach B, Goerg D, Gardner L.B. Cocaine-packet ingestion. Annals of Internal Medicine 1984; 100:73-74.
- Patel F. A high fatal postmortem blood concentration of cocaine in a drug courier. Forensic Science International 1996; 79:167-174.
- Sinner N. The gastro-intestinal tract as a vehicle for drug smuggling. Gastrointestinal Radiology 1981; 6:319-323.
- Stewart A, Heaton ND, Hogbin B. Body-packing - a case report and review of the literature. Postgraduate Medical Journal 1990; 66:659-661.
- Hierholzer J, Cordes M, Tantow H, Keşke U, Maurer J, Felix R. Drug smuggling by ingested co- cainefilled packages: conventional X-ray and ultrasound. Abdominal Imaging 1995; 20(4):333-338.
- Horrocks AW. Abdominal radiography in suspected body packers. Clinical Radiology 1992; 45: 322-325.
- M.M. McCarron and J.D. Wood, The cocaine “Body packer” syndrome-diagnosis and treatment, JAMA 1983; 250:1417-1420.
- Fineschi V, Centini F, Monciotti F, Turillazzi E. The cocaine “body stuffer” syndrome: A fatal case. Forensic Science International 2002; 126:7-10.
- Introna F, Smialek JE. The “mini-packer” syndrome. Fatal ingestion of drug containers in Baltimore, Maryland. The American Journal of Forensic Medicine and Pathology 1989; 10:21-4.
- Steven A K, Shaun L, Leon R, Abdulrezak S, Ben- net O, Joseph D and Cyril H. W. The risk of body packing: A case of a fatal cocaine overdose. Forensic Science International 2005; 151:81-84.