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Area of Science:

  • Forensic Toxicology
  • Emergency Medicine
  • Gastroenterology

Background:

  • Body packing is a common method for international drug trafficking, typically involving cocaine or heroin.
  • Cannabis is a widely used illicit substance globally.
  • This report focuses on the underreported phenomenon of cannabis body packing.

Observation:

  • Two cases of cannabis body packing in Southern France are presented.
  • One case involved a 45-year-old male presenting with abdominal pain, leading to the discovery of 34 condom-wrapped cannabis packages.
  • Complications included peritonitis and colonic perforation.

Findings:

  • Plain abdominal X-ray is the primary diagnostic tool for detecting foreign bodies.
  • Abdominal CT and toxicological analysis confirmed the presence and content (15% THC) of the cannabis packages.
  • Mechanical complications, such as perforation, are the main risks associated with cannabis body packing.

Implications:

  • Healthcare providers should consider body packing in patients with abdominal pain returning from abroad.
  • Early detection via plain abdominal X-ray is crucial for managing complications.
  • The prevalence of cannabis body packing may be underestimated.