Coin-Shaped Opacities in the Stomach

JAMA. 2023 Nov 28;330(20):2016-2017. doi: 10.1001/jama.2023.19032.
No abstract available

Plain language summary

On day 7 after hospital admission, a patient with end-stage kidney disease prescribed sevelamer, hydrocodone-acetaminophen, hydromorphone, and chewable lanthanum tablets developed intermittent apneic episodes, bilateral rhonchi, and responsiveness to verbal commands only with deep painful stimulus; a chest radiograph showed 4 radio-opaque coin-shaped opacities in the stomach. What is the diagnosis and what would you do next?

MeSH terms

  • Analgesics, Opioid
  • Foreign Bodies* / diagnostic imaging
  • Humans
  • Hydrocodone
  • Kidney Failure, Chronic
  • Lanthanum
  • Stomach* / diagnostic imaging
  • Tablets*

Substances

  • Analgesics, Opioid
  • Hydrocodone
  • Lanthanum
  • Tablets