TY  - JOUR
PY  - 2011//
TI  - A case of magnet ingestion in a child with autism: gastro-colonoscopic removal without surgical complication
JO  - Pediatric gastroenterology, hepatology, and nutrition
A1  - Kim, Joo-Whee
A1  - Lim, Mi-Sun
A1  - Kim, Soon-Chul
A1  - Lee, Eun-Hye
A1  - Ko, Jae-Sung
A1  - Seo, Jeong-Kee
SP  - 299
EP  - 304
VL  - 14
IS  - 3
N2  - 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.     Keywords: Multiple magnet ingestion; Foreign body; Removal; Gastrointestinal endoscopy; Magnets; Children; Colonoscopy<p />  <p>Language: ko</p>
LA  - ko
SN  - 2234-8646
UR  - http://dx.doi.org/10.5223/kjpgn.2011.14.3.299
ID  - ref1
ER  -