Citation

Kim JW, Lim MS, Kim SC, Lee EH, Ko JS, Seo JK. Pediatr. Gastroenterol. Hepatol. Nutr. 2011; 14(3): 299-304.

Copyright

(Copyright © 2011, Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition)

DOI

10.5223/kjpgn.2011.14.3.299

PMID

unavailable

Abstract

With the increasing use of magnets in toys, magnet ingestion is becoming a serious problem in children. Two or more magnets may attract across the gastrointestinal tract leading to pressure necrosis, perforation, fistula, volvulus or obstruction. We report a case of a 12-year-old boy with autism who presented with vomiting during seven days due to ingestion of 14 magnetic rods. Under general anesthesia, 5 of 14 magnets were removed from the second portion of the duodenum using a magnetic probe during endoscopy. The remaining magnets were not visible in the duodenum. A plain radiograph taken the next day revealed that the remaining magnets were impacted in the descending-sigmoid junction. One magnet passed spontaneously. However the other 8 magnets did not pass through the junction for 7 days. Five of 8 impacted magnets were removed by a colonoscopic procedure. After 2 hours of colonoscopy, one by one, the remaining three magnets spontaneously passed.

Keywords: Multiple magnet ingestion; Foreign body; Removal; Gastrointestinal endoscopy; Magnets; Children; Colonoscopy

Language: ko