@article{ref1,
title="Magnets ingestion as a rare cause of ileus in adults: a case report",
journal="Vojnosanitetski Pregled - Military-medical and pharmaceutical review",
year="2017",
author="Doklestic, Krstina and Loncar, Zlatibor and Jovanovic, Bojan and Velickovic, Jelena",
volume="74",
number="11",
pages="1094-1097",
abstract="Introduction. Magnetic foreign bodies are harmless when ingested as a single object. However, if numerous of individual magnets are ingested at certain intervals, one after the other, they may attract each other through the bowel wall and cause severe bowel damage. Case report. We reported a case of a man, age 21, who swallowed 2 very small magnets, presented with clinical and radiographic signs of acute bowel obstruction and intestinal fistula. The cause of obstruction was detected during laparotomy. At laparotomy, one magnet was found in the proximal jejunum and the other in the distal ileum, strongly attracting each other followed by small bowel twisting around this point of rotation, causing a complete small bowel obstruction with strangulation and jejuno-ileal fistula. The intestinal segments were devolvulated and both intestine perforations were primarily sutured. The patient recovered successfully after the surgery and was discharged 5 days after the laparotomy. <br><br>CONCLUSION. Patients who ingested magnetic objects must be seriously considered and emergency laparotomy should be performed to prevent serious gastrointestinal complications.   Uvod. Progutano magnetno strano telo je bezazleno ukoliko je pojedinačno. Kod gutanja većeg broja pojedinačnih magneta u vremenskim razmacima oni se mogu međusobno snažno privući kroz zid creva i izazvati ozbiljna oštećenja. Prikaz bolesnika. Prikazali smo slučaj 21-godišnjeg muškarca koji je, nakon što je progutao dva mala magneta, razvio kliničke i radiografske znake akutne crevne okluzije i intestinalne fistule. Uzrok ileusa detektovan je tek tokom laparotomije. Pri laparotomiji jedan magnet pronađen je u vijuzi proksimalnog jejunuma, a drugi u distalnom ileumu. Bili su snažno međusobno privučeni, sa uvrtanjem preostalih vijuga tankog creva oko formirane tačke rotacije, uzrokujući kompletnu crevnu opstrukciju sa strangulacijom tankog creva i jejuno-ilealnom fistulom. Crevne vijuge su oslobođene i mesta perforacije su zbrinuta primarnom suturom creva. Oporavak je protekao bez komplikacija. Bolesnik je otpušten iz bolnice petog postoperativnog dana. Zaključak. Ukoliko je pacijent progutao više pojedinačnih magneta i razviju se znaci akutne intestinalne okluzije, potrebna je brza hirurška intervencija da bi se sprečile ozbiljne komplikacije.   Ključne reči strana tela; magnetika; creva, opstrukcija; hirurgija digestivnog sistema, procedure  Keywords: Multiple magnet ingestion<p />",
language="sr",
issn="0042-8450",
doi="10.2298/VSP160214299D",
url="http://dx.doi.org/10.2298/VSP160214299D"
}