IMAGES IN EMERGENCY MEDICINE
An unusual presentation of foreign-body ingestion at the emergency department
KTU Faculty of Medicine, Department of Emergency Medicine, Trabzon, Turkey
Correspondence to:
Correspondence to:
S Turedi
Acil T
p ABD, Karadeniz Teknik Üniversitesi Tp Fakültesi Hastanesi, Trabzon 61080, Turkey;suleymanturedi@hotmail.com
Accepted 27 March 2006
| The first 150 words of the full text of this article appear below. |
A 30-year-old man presented to the emergency department with exhaustion, weight loss and abdominal pain. He had been having pain in the stomach, nausea and vomiting for the previous 2 days. The patient had received psychiatric treatment and treatment for alcoholism for the previous 3–4 years, and started to experience weight loss and exhaustion 3–4 months previously. No conclusions could be drawn from physical examination for abdominal tenderness and defence. Direct x ray showed an appearance conforming to a large number of foreign bodies in the stomach and subdiaphragmatic free gas (fig 1
). The patient was sent for emergency surgery, with a diagnosis of gastric perforation and foreign-body ingestion.
Figure 1 Direct x ray showing several foreign bodies in the stomach and subdiaphragmatic free gas.
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Most of the ingested foreign bodies that reach the stomach pass through the alimentary tract without complication. Perforation occurs in <1% of all cases of foreign-body
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