Скачать или смотреть 1,894 Coins Found Inside Stomach of Mentally ill Man Rare Case of Pica

In 2017, a 51-year-old man with a 30-year history of depression presented to a local hospital with complaints of fatigue and loss of appetite. On examination, his abdomen was hard and tender on the left flank. X-rays revealed numerous round-shaped radiopaque foreign bodies suggestive of coins. He was diagnosed with coin pica complicated by gastrointestinal perforation and was referred for surgical treatment. An emergency laparotomy revealed a 5 mm perforation on the anterior wall and greater curvature of the stomach, caused by the pressure of the ingested coins. Although the stomach was severely distended with coins, none had spilled into the abdominal cavity. In total, 1,894 coins were removed. The patient was later identified to have schizophrenia. This case highlights a rare and extreme presentation of pica—a condition characterized by persistent ingestion of non-nutritive substances—commonly associated with psychiatric disorders.