What question did this study set out to answer?

To describe the severe cardiovascular complications associated with cocaine ingestion in the context of body packing.

June 5, 2026Open Access

Acute Cardiovascular Complication Following Massive Cocaine Body Packing

Key Points

To describe the severe cardiovascular complications associated with cocaine ingestion in the context of body packing.
Case report of a 42-year-old man who ingested 70 cocaine packets
Describes clinical evolution and interventions following packet leakage
Postoperative evaluation of cardiovascular status after surgical extraction
Patient developed acute coronary syndrome with ST-segment elevation and hypertensive crisis
Urgent surgical extraction was performed, leading to resolution of complications
Postoperative course was favorable with normalization of cardiovascular function

Abstract

Ingestion of cocaine packets in the context of drug trafficking exposes individuals to severe complications in case of packet rupture or leakage. We report the case of a 42-year-old man admitted after voluntary ingestion of 70 cocaine packets. Clinical evolution was marked by the secondary occurrence of an acute coronary syndrome with ST-segment elevation associated with hypertensive crisis, requiring urgent surgical extraction of the remaining packets. Postoperative evolution was favorable with the resolution of cardiovascular abnormalities. This case highlights the potentially life-threatening nature of cocaine intoxication and the importance of rapid multidisciplinary management.

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