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KMID : 0361020230660080556
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Korean Journal of Otolaryngology - Head and Neck Surgery
2023 Volume.66 No. 8 p.556 ~ p.559
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Combined Aspiration and Ingestion of Multiple Metallic Beads Resulting in Tracheoesophageal Fistula
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Jin Si-Yeon
KwonSeong-Keun
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Abstract
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The introduction of magnetic toys has led to an increase in the incidence of pediatric magnetingestion. A previously healthy 3-year-old girl was referred to our emergency room after in-gesting multiple magnets more than a week ago. Although she did not show any subjectivesymptoms, imaging revealed three metallic foreign bodies in the trachea and upper esopha-gus, with multiple aggregated foreign bodies in the lower-middle abdomen. A total of 17 mag-netic beads were successfully retrieved through operative exploration. A secondary tracheo-esophageal fistula was identified during foreign body removal. Based on the size andgranulation tissue coverage, the fistula was managed conservatively. The follow-up examina-tion on postoperative day 7 showed spontaneous fistula resolution. Ingestion of multiple mag-nets may result in fatal consequences due to pressure necrosis of vital organs. Early identifica-tion and prompt management are crucial to minimize morbidity in these cases.
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KEYWORD
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Airway obstruction, Emergency care, Foreign body, Tracheoesophageal fistula
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