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KMID : 0816120080110010084
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Korean Journal of Pediatric Gastroenterolology and Nutrition
2008 Volume.11 No. 1 p.84 ~ p.88
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A Case of Gastroduodenal Fistula Caused by Ingested Magnetic Foreign Bodies
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Lee Won-Hee
Min Young-Don
Moon Kyung-Rye
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Abstract
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If multiple magnets are ingested, the potential exists for the magnets attracting one another across the gastrointestinal tract and inducing pressure necrosis, perforation, fistula formation, or intestinal obstruction. We report the case of a 12-year-old boy who suffered from a fistulous communication between the lesser curvature of the mid-body of the stomach and the duodenal bulb, caused by 4 ingested magnets (Singing Magnets, China). The patient presented with moderate mental retardation, a one-year history of cyclic vomiting, and abdominal discomfort. We present the findings of simple abdominal radiography, esophagogastroduodenoscopy, computed tomography, and upper gastrointestinal series. An emergency exploratory laparotomy was performed, which revealed a gastroduodenal fistula. Fistula repair and the removal of 4 magnetic toys were subsequently performed. We emphasize that clinicians who care for children should be aware of the hazards of magnetic toy ingestion. (Korean J Pediatr Gastroenterol Nutr 2008; 11: 84∼88)
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KEYWORD
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Multiple magnet ingestion, Gastroduodenal fistula
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