An unexpected surprise: delayed gastric outlet obstruction from coin ingestion

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Eric Omar Then *
Febin John
Carmine Catalano
Michell Lopez-Luciano
Vinaya Gaduputi
(*) Corresponding Author:
Eric Omar Then | ericomarthen27@yahoo.com

Abstract

Gastric outlet obstruction (GOO) is characterized by postprandial vomiting due to mechanical obstruction. Rarely it can occur due to ingestion of a foreign body. Most cases of foreign body ingestion are benign, with passage of the ingested object into the stool with no clinical sequelae. We describe a case of an 80-year-old woman with GOO occurring secondary to ingestion of two coins (American quarters). Rarely will such a small object cause a true gastric outlet obstruction. To our knowledge this makes the second such case reported in the medical literature.


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