Cocaine ingestion is an increasingly widespread problem. Carriers will ingest multiple small packets of cocaine in attempts to conceal the drug. A favored packet is the condom, which may hold up to 5 g cocaine. Rupture of even one such packet may be fatal. Webb recommends surgery as the safest method of recovery to avoid the likelihood of packet rupture during endoscopic retrieval. If the packet appears to be passing intact through the intestinal tract, the clinician may choose to observe the patient and wait for the packet to be delivered spontaneously through the rectum.
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