Acute Cardiovascular Complication Following Massive Cocaine Body Packing

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.