Medical treatment of the body packer or drug mule
Keywords:
body packer, human mail, intracorporal transportation of contraband, mules.Abstract
Introduction: During the year 2020, more than 284 million people in the world were affected by the consumption of drugs, which are transported in different forms of packaging or using the body itself, called human couriers; people who use the inside of their body for these purposes are described by various terms, including body packers or drug mules, a dangerous practice, with serious medical-legal consequences. A bibliographic review of documents indexed in the SciELO, PubMed and academic Google databases is carried out. Full text articles, in Spanish, Portuguese and English, published from 2018 to 2022, related to the topic were included.Objective: To examine the ways to deal with a health problem such as body packer from a medical point of view.
Development: Individuals of both sexes, of all age groups, participate in the body packer activity. The transported substances are: cocaine, heroin, amphetamines, marijuana, hashish and synthetic drugs. Between 50 and 200 capsules with 5 to 10 kilograms of the total substance are carried. Imaging studies that vary in sensitivity and availability are necessary for its evaluation. More than 80% of cases are asymptomatic, resolve with strict surveillance and use of polyethylene-glycol for bowel evacuation; the rest of the cases develop body packer syndrome and require surgical treatment and support with symptomatic and specific treatment.
Conclusions: For the body packer, imaging studies are planned, as well as medical or surgical treatment according to the clinical forms that occur.
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References
2. Sturla Lompré, P. Mulas, la cara visible del narcotráfico. Estudio sobre el tráfico de drogas a través de aeropuertos argentinos bajo la modalidad de correos humanos [Trabajo final integrador]. Argentina: Universidad Nacional de Quilmes, Bernal; 2021 [acceso: 10/07/2022]. Disponible en: http://ridaa.unq.edu.ar/handle/20.500.11807/3103
3. Lozano De Ávila CA, Rivas Zuñiga GM, Square Nieves KC, Zurita Medrano NJ, Iglesias Medrano JM. Body Packer: An Experience in a Reference Hospital. Panamerican Journal of Trauma, Critical Care & Emergency Surgery. 2021 [acceso: 15/04/2022]; 10 (1):43-5. Disponible en: https://www.pajtcces.com/doi/PAJT/pdf/10.5005/jp-journals-10030-1309
4. Herrera Jara LE. Correos humanos: víctimas o partícipes. Rev Cathedra. 2021; 1(15):26-52. DOI: 10.37594/cathedra.n15.470
5. Mercado MF, Ensuncho CR, Posada JC. Tratamiento médico del "body packer" entre los años 2014 y 2016 en un hospital universitario del caribe colombiano. Rev Colomb Cir. 2018 [acceso: 15/04/2022]; 33:265-71. Disponible en: https://www.revistacirugia.org/index.php/cirugia/article/view/71/55
6. Paiva LF. As dinâmicas do mercado ilegal de cocaína na tríplice fronteira entre Brasil, Peru e Colômbia. Revista Brasileira De Ciências Sociais. 2019 [acceso: 15/04/2022]; 34(99); [aprox. 19 p.]. Disponible en: https://www.scielo.br/j/rbcsoc/a/MnH57mtDTqqwzgvB8LhXMnz/?format-=pdf&lang=pt
7. Porangaba Rodrigues B. A "Mula" do tráfico transnacional de drogas como vítima do tráfico internacional de pessoas: uma análise crítica a partir do Filme Maria Cheia De Graça [Trabajo de conclusión de curso]. Salvador de Bahía: Faculdade de Direito da Universidade Federal; 2018 [acceso: 29/04/2022]. Disponible en: https://repositorio.ufba.br/bitstream/ri/28246/1/Bruno%20Porangaba%20Ro-drigues.pdf
8. Deitel M, Syed AK. Intestinal obstruction by an unusual foreign body. Can Med Assoc J. 1973 [acceso: 16/04/2022]; 109(3):211-12. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1946817/?page=1
9. Castro Porteiro N. Tráfico ilegal de drogas e intervención quirúrxica non consentida. [Trabajo Fin de Grado]. Brasil: Universidad de Coruña; 2019 [acceso: 29/05/2022]. Disponible en: https://ruc.udc.es/dspace/bitstream/handle/2183/25345/CastroPorteiro_Nat-alia_TFG_2019.pdf
10. Escobar Orozco CA, Castiblanco Montañez RA, Castillo Silva LC, Romero Urrea NV, Trujillo Calderón LM. Protocolo de atención de enfermería a personas que transportan sustancias ilícitas en cavidades del cuerpo. [Tesis]. Bogotá: Fundación Universitaria de >Ciencias de la Salud FUCS; 2018 [acceso: 30/05/2022] [aprox. 20 p.]. Disponible en: https://repositorio.fucsalud.edu.co/bitstream/handle/001/2706/REDI-CCA-2018-28.pdf?sequence=1&isAllowed=y
11. Gonçalves B. As "Mulas" do tráfico internacional de drogas: A Visão Por Meio Das Políticas Públicas E Dos Tratados Internacionais. [Trabalho de Conclusão de Curso]. Caxias do Sul: Universidade de Caxias do Sul; 2020 [acceso: 30/05/2022]. Disponible en: https://repositorio.ucs.br/xmlui/bitstream/handle/11338/6414/TCC%20Giulia%-20Fa%c3%a9.pdf?sequence=1&isAllowed=y
12. Eugenia Sinatra F. ¿Guerra contra las drogas o guerra contra las mujeres? El encarcelamiento de las mujeres mulas del narcotráfico [Tesis de Abogacia]. Buenos Aires: Universidad de San Andrés. Departamento de Derecho Abogacía; 2020 [acceso: 03/06/2022]. Disponible en: https://repositorio.udesa.edu.ar/jspui/bitstream/10908/18149/1/%5bP%5d%-5bW%5d%20T.%20G.%20Abo.%20Sinatra%2c%20Florencia%20Eugenia.pdf
13. Ribeiro L, Martino N, Lemos Duarte T. Antes das grades: perfis e dinâmicas criminais de mulheres presas em Minas Gerais. Revista Sociedade e Estado 2021 [acceso: 16/04/2022]; 36(2):639-67. Disponible en: https://www.scielo.br/j/se/a/mSLsJZdthfb3wynZTTrkQqs/?format=pdf&lang=pt
14. González L. A mulher negra na sociedade brasileira: uma abordagem político-econômica. En Flavia Rios y Lima Márcia (Orgs.). Por um feminismo afro-latino- americano. Rio de Janeiro: Zahar Editores, 2020 [acceso: 16/04/2022]. Disponible en: https://mulherespaz.org.br/site/wp-content/uploads/2021/06/feminismo-afro-latino-americano.pdf
15. Aracena Aravena J, Vargas Gajardo C, De la Maza Soto MV. Tráfico de drogas y body packing, serie de casos y breve revisión: la experiencia de una tarde. Rev Chil Radiol. 2022 [acceso: 16/04/2022]; 28(1):42-5. Disponible en: https://www.scielo.cl/scielo.php?pid=S0717-93082022000100042&script=sci_arttext
16. Adem Ç, Ramazan G, Kemal Ş. High-Dose Poisoning, "Body Packers" Case That Ended in An Emergency: A Case Report. Open Acc J of Toxicol. 2021 [acceso: 16/04/2022]; 5(2):[aprox. 10]. Disponible en: https://juniperpublishers.com/oajt/pdf/OAJT.MS.ID.555659.pdf
17. Sánchez Relinque D, Gómez Modet S, Lara Palmero C. Manejo y tratamiento de los body packers. Cir Andal. 2019 [acceso: 17/04/2022]; 30(1):77-82. Disponible en: https://www.asacirujanos.com/admin/upfiles/revista/2019/Cir_Andal_vol-30_n1_12.pdf
18. Mathew RP, Sarasamma S, José M. Clinical presetation, diagnosis and management of aerodigestive tract foreign bodies in the adult population: Part 1. S Afr J Rad. 2021[acceso: 16/04/2022]; 25(1): [aprox. 13]. Disponible en: http://www.scielo.org.za/scielo.php?script=sci_abstract&pid=S2078-67782021000100011
19. Lam K, Doyle E. Is abdominal x-ray (AXR) or computed tomography (CT) of the abdomen the most appropriate imaging modality for the detection of illegal substances concealed, taking into consideration the sensitivity, specificity and radiation dose? Journal of Forensic Radiology and Imaging. 2019 [acceso: 18/04/2022]; 16:50-6. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S221247801830056X-?via%3Dihub
20. Belaunde Clausell A, Rodríguez Rodríguez EE, Romero Reinaldo Y. Diagnóstico por imagen de cuerpos extraños intrabdominales. Univ Méd Pinareña. 2021 [acceso: 18/04/2022]; [En prensa]: e671. Disponible en: http://www.revgaleno.sld.cu/index.php/ump/article/view/671/pdf
21. Nacca N, Schult R, Loflin R, Weltler A, Gorodetsky R, Kacinko S, et al. Coma, seizures, atrioventricular block, and hypoglycemia in an ADB-FUBINACA body-packer. J Emerg Med. 2018 [acceso: 18/04/2022]; 55(6):788-91. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S073646791830928-4?via%3Dihub
22. Borgsteede SD, Verwer PE, Prins G, Wijma RA, de Keijzer K, Alsma J, et al. A body packer with cannabis. Ned Tijdschr Geneeskd. 2019 [acceso: 16/04/2022]; 163:D3403. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30719888/
23. Abouzahir H, Nya S, Belhouss A, Benyaich H. Death following cocaine poisoning in body packer: Two cases report and review of the literatura. International Journal of Forensic Medicine 2020 [acceso: 16/04/2022]; 2(2): 14-6. Disponible en: https://www.forensicpaper.com/archives/2020.v2.i2.A.26
24. Mégarbane B; Oberlin M, Alvarez JC, Balen F, Beaune S, et all. Management of pharmaceutical and recreational drug poisoning. Ann. Intensive Care. 2020 [acceso: 19/04/2022]; 10:157 [aprox. 30]. Disponible en: https://annalsofintensivecare.springeropen.com/articles/10.1186/s13613-020-00762-9
25. Arora A, Jain S, Srivastava A, Mehta M, Pancholy K. Body Packer Syndrome. J Emerg Trauma Shock. 2021 [acceso: 18/04/2022]; 14(1):51-2. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8054804/
26. Zhun Ming Lim R, Aun Wei Ang A, Huei Tan J. The Enigma in Management of Complicated Foreign Body Ingestion Impacted Distal to Oesophagus: A Case Series and Literature Review [Internet]. Durham: Research Square; 2020 [acceso: 18/07/2022] [aprox. 12 p] Disponible en: https://web.archive.org/web/20200926124609id_/https://assets.researchs-quare.com/files/rs-80657/v1/59f813ea-b1e7-49e7-9d23-f2bd674c9adf.pdf
27. Meneses LC, Meneses JP. Body packing: tráfico de drogas y cirugía. Reporte de un caso. Rev. Cir. 2021 [acceso: 18/04/2022]; 73(4):498-502. Disponible en: https://www.scielo.cl/pdf/revistacirugia/v73n4/2452-4549-revistacirugia-73-04-0498.pdf
28. Caeiro Calvache A. Tráfico ilegal de drogas e intervención quirúrgica no consentida. [Trabajo de fin de grado]. Galicia: Universidad de Caruña. Facultad de Derecho; 2019 [acceso: 21/04/2022]. 53p. Disponible en: https://ruc.udc.es/dspace/bitstream/handle/2183/25334/Caeiro_Calva-che_Alejandro_TFG_2019.pdf
29. Bestard Pavón LA; Barrero Viera L, Suarez Rivero B. El consentimiento informado en la actividad médica de enfrentamiento a la COVID-19. Revista Cubana de Medicina Militar. 2021 [acceso: 21/04/2022]; 50(3):[aprox. 19]. Disponible en: http://scielo.sld.cu/scielo.php?pid=S0138-65572021000300025&script=sci_arttext&tlng=en
30. Barajas Calderón HI, Ramírez León JL, Casillas Mares A. Body packer problemática de legalidad y salud. Revista casos clínicos cirugía general. 2020 [acceso: 21/04/2022], 23(12): [aprox. 4 p] Disponible en: https://www.academia.edu/43692779/BODY_PACKER_PROBLEM-%C3%81TICA_DE_LEGALIDAD_Y_SALUD?auto=citations&from=cover_page
31. Argo A, Lo Casto A, Zerbo S, Lagalla R. Virtopsy and living individuals evaluation using computed tomography in forensic diagnostic imaging. J Forensic Radiol Imaging. 2019 [acceso: 21/05/2022]; 40(1):67-78. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0887217118300969
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