A Case of Magnet Ingestion in a Child with Autism: Gastro-Colonoscopic Removal without Surgical Complication.
10.5223/kjpgn.2011.14.3.299
- Author:
Joo Whee KIM
1
;
Mi Sun LIM
;
Soon Chul KIM
;
Eun Hye LEE
;
Jae Sung KO
;
Jeong Kee SEO
Author Information
1. Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea. jkseo@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Foreign body;
Removal;
Gastrointestinal endoscopy;
Magnet;
Children;
Colonoscopy
- MeSH:
Anesthesia, General;
Autistic Disorder;
Child;
Colonoscopy;
Duodenum;
Eating;
Endoscopy;
Endoscopy, Gastrointestinal;
Fistula;
Foreign Bodies;
Gastrointestinal Tract;
Humans;
Intestinal Volvulus;
Magnetics;
Magnets;
Necrosis;
Play and Playthings;
Vomiting
- From:Korean Journal of Pediatric Gastroenterology and Nutrition
2011;14(3):299-304
- CountryRepublic of Korea
- Language:Korean
-
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.
