BMJ Case Reports 2017; doi:10.1136/bcr-2017-219286
  • Global health

A Syrian man with abdominal pain

  1. Maarten Bronkhorst4
  1. 1Surgery, Leids Universitair Medisch Centrum, Leiden, The Netherlands
  2. 2Surgery, Alrijne Ziekenhuis Locatie Leiderdorp, Leiderdorp, The Netherlands
  3. 3Surgery, Nederland Ministerie van Defensie, Den Haag, The Netherlands
  4. 4Surgery, Medisch Centrum Haaglanden, Den Haag, The Netherlands
  1. Correspondence to Mr Rigo Hoencamp, r.hoencamp{at}
  • Accepted 5 May 2017
  • Published 22 May 2017


A 32-year-old man presented with progressive abdominal pain, nausea and vomiting after swallowing a packet of dollar bills, his entire money savings, during his journey to Europe as a refugee. Subsequent imaging confirmed the presence of a foreign body in his stomach, which required surgical intervention to be removed. This is one of many cases that illustrate the hopeless circumstances people in the Middle-Eastern warzone are currently facing.


  • Contributors Conception and design: MC, RH and MB. Acquisition of data: RH and MB. Interpretation of data: MC, RH and MB. Drafting the manuscript: MC and RH. Revision of the manuscript: RH and MB. Approval of the final version of the manuscript: MC, RH and MB.

  • Competing interests None declared.

  • Patient consent Consent obtained from next of kin.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article