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The New Zealand Medical Journal

 Journal of the New Zealand Medical Association, 24-January-2003, Vol 116 No 1168

Time for gastroscopy


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A 48-year-old male psychiatric inpatient presented with dysphagia and a history of swallowing two rings and a wristwatch. Chest X-rays confirmed a wristwatch and two rings in the distal oesophagus. An otolaryngologist performed rigid oesophagoscopy, but the watch migrated into the stomach. A flexible gastroscopy was performed and a Casio digital wristwatch, displaying the correct time, and two signet rings were identified in the stomach and removed using a snare. The patient recovered and has not represented.
We are grateful to Drs Richard B Gearry, H Bramwell Cook and Michael J Burt, of the Department of Gastroenterology, Christchurch Hospital, for this issue’s Medical Image.
     
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