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Related Concept Videos

Computed Tomography01:10

Computed Tomography

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Tomography refers to imaging by sections. Computed tomography (CT) is a non-invasive imaging technique that uses computers to analyze several cross-sectional X-rays to reveal minute details about structures in the body.
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Positron emission tomography (PET) is a medical imaging technique involving radiopharmaceuticals — substances that emit short-lived radiation. Although the first PET scanner was introduced in 1961, it took 15 more years before radiopharmaceuticals were combined with the technique and revolutionized its potential.
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Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
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Updated: Jun 14, 2025

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An unexpected computed tomography finding in a suspected body packer.

Ping Wu1, Safiyyah Nok Sze Lui2, Heather Hoi Ching Lee3

  • 1Intensive Care Unit, Tuen Mun Hospital, Hong Kong.

Clinical Toxicology (Philadelphia, Pa.)
|September 3, 2024
PubMed
Summary

Computed tomography (CT) identified an unusual abdominal cast in a suspected body packer. This cast, falsely presented as a medical device, contained illicit drugs, highlighting a novel trafficking method.

Keywords:
Abdominal castbody packercastcocainecomputed tomography

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Area of Science:

  • Radiology
  • Forensic Medicine
  • Toxicology

Background:

  • Computed tomography (CT) is a key imaging modality for detecting internal drug smuggling.
  • Body packing, the concealment of drugs within the body, poses diagnostic challenges.

Purpose of the Study:

  • To report an unusual CT finding in a suspected body packer.
  • To illustrate a novel method of drug trafficking disguised as medical treatment.

Main Methods:

  • A suspected body packer presented with low back pain and an abdominal cast.
  • Plain CT scan of the abdomen and pelvis was performed.
  • The cast's composition was analyzed.

Main Results:

  • CT revealed an abdominal cast with a nodular appearance and heterogeneous density, distinct from plaster.
  • Subsequent investigation confirmed the cast contained cocaine.

Conclusions:

  • Body packers may use external devices, such as casts, to traffic drugs.
  • Imaging findings should be carefully evaluated for atypical presentations in suspected smugglers.