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But with your experience in paeds A&E Tom, that suggests a complication rate of way under 1%! What's your view on managing these cases anyway? Regards Adrian Fogarty ----- Original Message ----- From: Tom Beattie <[log in to unmask]> To: <[log in to unmask]> Sent: Tuesday, April 16, 2002 9:46 PM Subject: Re: Swallowed FB was: Being over-riden by radiographers Yes. On 2 occasions over 15 years I have seen £1 coin lodged in stomach. On each occasion endoscopy failed to dislodge and facilitate removal. Coin almost through to peritoneum requiring surgical excision and repair of damaged stomach wall on each occasion. Never with lesser value coin though!. Tom Beattie -----Original Message----- From: Accident and Emergency Academic List [mailto:[log in to unmask]] On Behalf Of Helen Deborah Vecht Sent: 15 April 2002 22:46 To: [log in to unmask] Subject: Re: Swallowed FB was: Being over-riden by radiographers The message <[log in to unmask]> from [log in to unmask] contains these words: > MDC:In 95% of cases the FB is passed uneventfully, but there > is still a 5% of cases in which it that will be retained. > A FB retained in the bowel can cause Obstruction, Perforation > (followed by localized abscess, fistulization or generalized > peritonitis) and Bleeding. It is indeed distasteful to look > through the faeces <rest snipped> Is the incidence of complications *really* that high? Let's see... Can _anyone_ in this list ever seeing recall a *major* complication from a swallowed coin that has passed below the diaphragm? -- Helen D. Vecht: [log in to unmask] Edgware.