Drug smuggling by internal bodily concealment is a well-recognized int
ernational problem, particularly in view of the difficulty of its dete
ction and the potential for large financial gains. This mode of transp
ort can have serious medical complications, including drug intoxicatio
n - sometimes fatal - as well as intestinal obstruction by foreign bod
ies (FBs). We discuss a case of heroin 'bodypacking' (the ingestion of
heroin filled condoms) with its resultant complications. The initial
medical management and indications for surgery are discussed, and the
relevant literature reviewed.