Bodypacking: When to Operate?

The bodypacking is a drug delivery that is growing, especially since the events of September 11, 2001 from which were reinforced customs controls of baggage or packages. This mode of transport may cause, digestive or toxic complications whose management requires special care and sometimes a notice and / or surgery. We report four clinical cases. They have occlusive and toxic complications admitted in our hospital. During 5-day monitoring the complication has been observed, a surgical treatment is carried out after the initiation of medical treatment. Several factors have caused these complications. The death rate increases in this situation. Traditional packaging seems an important factor.