Ingested foreign body

Case contributed by Maulik S Patel
Diagnosis certain

Presentation

Possible foreign body ingestion about 24 hrs back. No complaints.

Patient Data

Age: 5 yrs
Gender: Male
x-ray

There is a metal dense opacity (coin) overlying stomach gas shadow on AP supine view. However, there is the colonic gas shadow at the same level. In lateral view, the colonic gas shadow is anterior. The coin lies away from the anterior abdominal wall and above the colonic gas. Radiography favors coin in the stomach.

ultrasound

There is reverberation artifact due to the coin in the collapsed stomach. 

Case Discussion

Radiography and ultrasound show a coin in the stomach.

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