About this episode
Author: Aaron Lessen, M.D. Educational Pearls A "stuffer" is a term for someone who hastily and conceals a bag of drugs orally/rectally/vaginally in an unplanned situation. A "packer" is someone who is planning to smuggle drugs, and does so in a similar manner. "Stuffers"are more likely to have the drug container open up in their system, while packers tend to have more reliable containment, but typically have larger quantities on-board. Be on look out for symptoms associated with the drug's exposure (drug dependent) as well as mechanical symptoms (perforation; obstruction). If suspicious, order CT as X-rays underestimate severity. Management: treat symptoms of intoxication appropriately, observe if packets are intact, consider surgery/endoscopy if necessary. References Dueñas-Laita A, Nogué S, Burillo-Putze G (2004). "Body packing". New England Journal of Medicine . 350 (12): 1260–1 Hergan K, Kofler K, Oser W (2004). "Drug smuggling by body packing: what radiologists should know about it". Eur Radiology . 14 (4): 736–42. Traub SJ, Hoffman RS, Nelson LS (2003). "Body packing—the internal concealment of illicit drugs". New England Journal of Medicine . 349 (26): 2519–26.