Korean J Pediatr Gastroenterol Nutr.  2008 Mar;11(1):84-88.

A Case of Gastroduodenal Fistula Caused byIngested Magnetic Foreign Bodies

• Lee WH
• Min YD
• Moon KR

Abstract

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.

Keyword

Multiple magnet ingestion; Gastroduodenal fistula

MeSH Terms

Child
Emergencies
Endoscopy, Digestive System
Fistula
Foreign Bodies
Gastrointestinal Tract
Humans
Intellectual Disability
Intestinal Obstruction
Laparotomy
Magnetics
Magnets
Necrosis
Play and Playthings
Radiography, Abdominal
Stomach
Vomiting