Massive penny ingestion: the loot with local and systemic effects

The Journal of Emergency Medicine
Saurabh S DhawanElizabeth Pritchard

Abstract

A 57-year-old schizophrenic woman presented with lethargy, nausea, vomiting, and anorexia after coin ingestion. She was found to have multiple organ dysfunction manifested as hepatitis, pancreatitis, severe anemia with markedly depressed bone marrow response, extravascular hemolysis, and acute renal failure. Prolonged exposure to zinc from massive coin ingestion was responsible. Zinc poisoning is an unusual consequence of coin ingestion in the adult human literature. A detailed discussion on zinc poisoning, as well as the pitfalls in radiological diagnosis of massive coin ingestion, is presented.

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Citations

Oct 29, 2013·Best Practice & Research. Clinical Gastroenterology·Efstratios SaliakellisNikhil Thapar
Jun 22, 2014·AJR. American Journal of Roentgenology·Mark GuelfguatC Jason DiPoce
Dec 4, 2014·Journal of Trace Elements in Medicine and Biology : Organ of the Society for Minerals and Trace Elements (GMS)·Shakhenabat KasanaWolfgang Maret
Apr 25, 2009·The American Journal of the Medical Sciences·Kenneth E Olive
Jun 2, 2011·Gastrointestinal Endoscopy·UNKNOWN ASGE Standards of Practice CommitteeJason A Dominitz
Aug 22, 2015·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Brian S PugmireLaura L Avery
May 28, 2020·Journal of Pediatric Gastroenterology and Nutrition·Amornluck Krasaelap, Diana Lerner
Nov 26, 2019·Clinical Practice and Cases in Emergency Medicine·Bram A DolcourtCynthia K Aaron

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