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Rare disease
CASE REPORT
Buried coin in the gastric mucosa
  1. Dominic Ti Ming Tan1,
  2. Yih Chyn Phan2,3 and
  3. Edmund Leung2
  1. 1 College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom
  2. 2 County Hospital Hereford, Hereford, United Kingdom
  3. 3 College of Medicine and Veterinary Medicine, Edinburgh Medical School, The University of Edinburgh, Edinburgh, United Kingdom
  1. Correspondence to Mr Yih Chyn Phan, yihchyn{at}hotmail.com

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.

  • endoscopy
  • general surgery
  • stomach wall

https://doi.org/10.1136/bcr-2018-227622

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    Footnotes

    • Contributors DTMT and YCP: wrote and edited the paper. EL: supervised the team.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

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