A 67-year-old-man was admitted to cardiology department with typically chest pain. Physical examination was unremarkable and there were non spesific ST-T wave changes on electrocardiogram(ECG). Transthoracic echocardiogram of the patient had no abnormal findings. Serial monitoring of cardiac markers were normal. With the typical chest pain was assessed as unstable angina pectoris. He underwent coronary angiography. There were non-critical stenosis on right coroner artery and circumflex. During the angiography a foreign body was detected incidentally on posteroinferior pericardium and it was moving along together together with the heart with every heartbeats (Panel A). Foreign body looked like a needle (Panel B). After the angiography thoracic computed tomography was performed. A 3 cm metallic image was seen superior to the the fundus of the stomach migrates posteroinferior pericardium (Panel C). Interestinly he had no surgery or intervention on thoracic or abdominal area. By the way endoscopy was performed, however there was no pathological finding. Finally thoracic surgery was planned to remove the foreign body but patient refused so that he was discharged.
