Oesophageal coins invisible on chest radiography - Internati
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Coins are made of metal, which is generally radiopaque, and so physicians often have the misconception that all coins are detectable by radiography. This article reports a case of intentionally swallowed coins in the oesophagus of an adult; the coins could not be detected on chest radiography but were detected using computed tomography (CT).

Case presentation:
A 46-year-old woman with a history of depression presented to the emergency department after an intentional medication overdose and ingestion of two Japanese 1-yen coins. She complained of persistent retrosternal discomfort. In order to confirm whether the coins were in the oesophagus or trachea, an anteroposterior chest radiograph was obtained; however, no coins were detected. Owing to her persistent symptoms, a chest CT was performed. On the initial CT scan, two 1-yen coins were observed in the oesophagus: one in the middle oesophagus and the other in the lower oesophagus. After the scanning, the patient drank water with permission, but vomited. No coins were found in her vomit, and the symptoms of retrosternal discomfort had completely disappeared. A subsequent CT scan revealed that the two 1-yen coins were in the patient’s stomach...

Dr. R●●●●●h K●●●e and 1 others like this
Dr. M●●●●●v D●●●i
Dr. M●●●●●v D●●●i Internal Medicine
Have they taken x-ray in lateral position? May be it would have shown radio-opacities. In an AP or PA view it may not be possible to appreciate an opacity in front of vertebrae.
Oct 18, 2017Like3