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KMID : 0816120110140030299
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Korean Journal of Pediatric Gastroenterolology and Nutrition
2011 Volume.14 No. 3 p.299 ~ p.304
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A Case of Magnet Ingestion in a Child with Autism: Gastro-Colonoscopic Removal without Surgical Complication
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Kim Joo-Whee
Lim Mi-Sun
Kim Soon-Chul
Lee Eun-Hye
Ko Jae-Sung
Seo Jeong-Kee
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Abstract
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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.
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KEYWORD
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Foreign body, Removal, Gastrointestinal endoscopy, Magnet, Children, Colonoscopy
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