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2018 ; 5
(2
): 177-180
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Coin pica-induced gastric perforation resulting from ingestion of 1,894 coins, 8
kg in total: case report and review of published works
#MMPMID29657731
Sekiya K
; Mori S
; Otomo Y
Acute Med Surg
2018[Apr]; 5
(2
): 177-180
PMID29657731
show ga
CASE: Pica is common among patients with psychiatric disorders, but only a few
cases regarding coin pica have been reported. A 51-year-old man with depression
complaining of fatigue was found to have numerous coins in the esophagus and the
stomach on X-rays. He had a peritoneal sign and underwent an emergency
laparotomy. OUTCOME: The surgical findings showed perforation on the anterior
wall of the gastric body and coins in the stomach, which were removed manually,
followed by an omental patch. Residual coins in the esophagus were removed by
endoscopy. The coins totaled 1,894, weighing 8,076 grams. The patient was then
diagnosed as schizophrenic. He was asymptomatic for metal toxicity and was
finally transferred to a psychiatric hospital. CONCLUSION: This pica case is the
first to show coin pica can lead to gastric perforation, and also reports the
largest amounts of coins ingested by a person to date.