Esophageal foreign body

Case contributed by Alex Pearce
Diagnosis certain

Presentation

A lady with background of dementia presents with vomiting and a missing diamond ring

Patient Data

Age: 90 years
Gender: Female
x-ray

There is a radiopaque foreign body at the gastro-esophageal junction in keeping with swallowed ring.

There is no pneumothorax or free subphrenic gas.

No consolidation or bowel obstruction. Pacemaker device in situ.

Degenerative changes in the spine and hips. No pleural effusion.

Case Discussion

Chest x-ray reveals a radiopaque foreign body fitting the description of her missing engagement ring. Her heirloom was retrieved from the gastro-esophageal junction by endoscopy just in time for Valentine's day. 

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