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Case Reports
. 2019 Jan 14;12(1):bcr-2018-227622.
doi: 10.1136/bcr-2018-227622.

Buried coin in the gastric mucosa

Dominic Ti Ming Tan  1 , Yih Chyn Phan  2   3 , Edmund Leung  2
Affiliations
Case Reports

Buried coin in the gastric mucosa

Dominic Ti Ming Tan et al. BMJ Case Rep. .

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.

Keywords: endoscopy; general surgery; stomach wall.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
The dimension of a UK 50 p coin.
Figure 2
Figure 2
First X-ray abdomen showing the 50 p coin in the stomach.
Figure 3
Figure 3
Second X-ray abdomen showing the 50 p coin in the stomach.
Figure 4
Figure 4
Axial CT image showing the 50 p coin in the stomach.
Figure 5
Figure 5
Sagittal CT image showing the 50 p coin in the stomach.
See this image and copyright information in PMC

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