A Case of 2-Year-Old Child with Entero-Enteric Fistula Following Ingestion of 25 Magnets

Zenon Pogorelić, Matija Borić, Joško Markić, Miro Jukić, Leo Grandić

A Case of 2-Year-Old Child with Entero-Enteric Fistula Following Ingestion of 25 Magnets

Číslo: 4/2016
Periodikum: Acta Medica
DOI: 10.14712/18059694.2017.42

Klíčová slova: Ingestion, Magnetic foreign body, Multiple magnets, Intestinal fistula, Children, Požití, magnetické cizorodé těleso, vícenásobné magnety, střevní píštěl, děti.

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Anotace: Introduction: Magnet ingestion usually does not cause serious complications, but in case of multiple magnet ingestion or ingestion of magnet with other metal it could cause intestinal obstruction, fistula formation or even perforation. Case report: We report case of intestinal obstruction and fistula formation following ingestion of 25 magnets in a 2-year-old girl. Intraoperatively omega shaped intestinal loop with fistula caused by two magnetic balls was found. Intestine trapped with magnetic balls was edematous and inflamed. Resection of intestinal segment was performed, followed by entero-enteric anastomosis. A total of 25 magnets were removed from resected intestine. Conclusion: Single magnet ingestion is treated as non-magnetic foreign body. Multiple magnet ingestion should be closely monitored and surgical approach could be the best option to prevent or to cure its complications.