Transporte intraabdominal y endovaginal de paquetes de droga (body packer y body pusher)

Vaginal smuggling of drug containers (body pusher) is a relatively uncommon subtype of intraabdominal trafficking of illicit substances (body packer). We report two cases of drug smuggling by simultaneous internal (body packer) and vaginal (body pusher) concealment of drug packages. Conservative management, based on laxative treatment, careful extraction of endovaginal packets and close clinical observation -with radiological tests for confirmation- is a safe and useful therapeutic approach for these patients. Early suspicion and treatment of body pusher, with severe potential complications -mainly, acute cocaine intoxication-, remains essential.