Citation

Tan DTM, Phan YC, Leung E. BMJ Case Rep. 2019; 12(1): e227622.

Affiliation

County Hospital Hereford, Hereford, United Kingdom.

Copyright

(Copyright © 2019, BMJ Publishing Group)

DOI

10.1136/bcr-2018-227622

PMID

30642863

Abstract

A 29-year-old man presented to the Accident and Emergency department with abdominal cramping following ingestion of a 50 p coin 2½ weeks prior to presentation. He had not observed it pass in his stools. An abdominal radiograph confirmed the presence of the 50 p coin in his stomach. Subsequently, he had an oesophagogastroduodenoscopy (OGD) performed with a failure to visualise the coin. 1½ weeks later, he returned to the department as he was still unable to observe its passing in his stools. A repeated abdominal radiograph and a CT of the abdomen and pelvis revealed that the coin was still in his stomach. A second OGD was performed once again with a failure to visualise the coin. It appeared that the coin had migrated into his gastric mucosa.

© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.

Language: en

Keywords

endoscopy; general surgery; stomach wall