Swallowed drug-filled packet impaction and appendiceal neoplasm: Two rare causes of bowel obstruction detected in the same patient.

Bowel obstruction, perforation and acute drug overdose due to packet rupture are known complication of "body-packing". We present the case of a 47-year-old man, who ingested drug-filled packets with acute bowel obstruction. A CT scan revealed multiple hyperdense ovoid bodies along distended and fluid-filled small bowel loops and an infiltrating appendiceal tumor with proximal packet retention.