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Correspondence
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Volume 350:839 February 19, 2004 Number 8
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Medical Mystery — The Answer

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 by François, B.
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To the Editor: The medical mystery in the January 1 issue1 involved a 62-year-old man who had a history of psychosis and who presented with an ileus. An abdominal radiograph revealed a ptotic gastric fundus filled with a very large, radiopaque density (Figure 1A). At laparotomy, the distended stomach was found to contain 5.5 kg of coins, necklaces, and needles (Figure 1B). A partial gastrectomy with Braun's anastomosis was performed because of pressure necrosis. Postoperative complications included septic shock and multiple-organ failure, which resulted in the patient's death on the 12th postoperative day.

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Figure 1. An Abdominal Radiograph . . . [Full Text of this Article]

 



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