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Letters to the Editor| Volume 57, ISSUE 4, P575-577, October 2019

Medico-Legal Analysis of Two Recent Cases of Body Packing

      We read with interest the two recent reports published in your journal, discussing the unusual case of a body packer concealing both a synthetic cannabinoid and cannabis, and the radiological features of the “body packer syndrome,” respectively (
      • Nacca N.
      • Schult R.
      • Loflin R.
      • et al.
      Coma, seizures, atrioventricular block, and hypoglycemia in an ADB-FUBINACA body-packer.
      ,
      • Ray A.
      • Nayan A.
      • Katariya K.
      • et al.
      Body packer syndrome: a radiological denouement!.
      ). The two studies include relevant and original information. We aim to contribute to this topic and clarify a few issues.
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      References

        • Nacca N.
        • Schult R.
        • Loflin R.
        • et al.
        Coma, seizures, atrioventricular block, and hypoglycemia in an ADB-FUBINACA body-packer.
        J Emerg Med. 2018; 55: 788-791
        • Ray A.
        • Nayan A.
        • Katariya K.
        • et al.
        Body packer syndrome: a radiological denouement!.
        J Emerg Med. 2018; 55: 260-263
        • Cappelletti S.
        • Piacentino D.
        • Ciallella C.
        Commentary on confounding definitions and descriptions of body packing.
        Abdom Imaging. 2015; 40: 3365-3366
        • Cappelletti S.
        • Piacentino D.
        • Sani G.
        • et al.
        Systematic review of the toxicological and radiological features of body packing.
        Int J Legal Med. 2016; 130: 693-709
        • Nichols 2nd, G.R.
        • Davis G.J.
        Body packing with a twist. Death of a salesman.
        Am J Forensic Med Pathol. 1992; 13: 142-145
        • Wilcher G.
        Drug-related deaths with evidence of intracorporeal drug concealment at autopsy: five case reports.
        Am J Forensic Med Pathol. 2011; 32: 314-318
        • Cawich S.O.
        • Williams E.W.
        • Evans N.R.
        • et al.
        Occupational hazard: treating cocaine body packers in Caribbean countries.
        Int J Drug Policy. 2009; 20: 377-380
        • Cappelletti S.
        • Piacentino D.
        • Ciallella C.
        Systematic review of drug packaging methods in body packing and pushing: a need for a new classification.
        Am J Forensic Med Pathol. 2019; 40: 27-42

      Linked Article

      • Coma, Seizures, Atrioventricular Block, and Hypoglycemia in an ADB-FUBINACA Body-Packer
        Journal of Emergency MedicineVol. 55Issue 6
        • Preview
          Synthetic cannabinoid intoxication has become difficult to diagnose and manage in the United States, in part due to varying clinical effects within this heterogeneous group of compounds.
        • Full-Text
        • PDF
      • Body Packer Syndrome: A Radiological Denouement!
        Journal of Emergency MedicineVol. 55Issue 2
        • Preview
          A 43-year-old man was brought to the Emergency Department after being found unconscious near Indira Gandhi International Airport, New Delhi. He was not accompanied by any friends or relatives. On examination he was found to be deeply comatosed, with a Glasgow Coma Scale score (GCS) of E1V2M1. His vitals were within normal limits. Neurological examination revealed bilateral slightly constricted but normally reacting pupils. Auscultation of the respiratory system revealed bilateral infra-axillary, infra-mammary, and infrascapular coarse crepitations.
        • Full-Text
        • PDF
      • Being Mindful of the Context
        Journal of Emergency MedicineVol. 57Issue 4
        • Preview
          I want to thank Dr. Cappelletti and colleagues for showing interest in our article and for their insightful comments (1). They have put forward three interesting points, namely: 1) Differentiation of the term body packing from other terms like body pushing; 2) Use of items other than illegal drugs in body packing; 3) Self-presentation by the body packers to a health care facility.
        • Full-Text
        • PDF