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Hong Kong dollar in the oesophagus.

A 72-year-old woman with hypertension, old stroke, hyperlipidaemia, and Alzheimer’s disease presented to the emergency department with a 2-day history of dysphagia and chest discomfort after taking her usual medicine. Physical examination showed no surgical emphysema; chest radiographs revealed there was a Hong Kong two dollar coin at the neck level (Fig 1). Oesophagoscopy identified the coin at 18 cm from the incisor (Fig 2). The coin was removed with rat-toothed forceps without difficulty. The coin measured 2.8 cm in its maximal diameter. The patient was discharged on the same day.