Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
권호 표지

A Case of Gastro-colic Fistula with Peritonitis Due to Ingested Magnets

삼킨 자석으로 인한 위-결장 사이의 누공 형성과 복막염 1예

  • Cho, Yong-Duck (Department of Internal Medicine, Kyung Hee University College of Medicine) ;
  • Chang, Young-Woon (Department of Internal Medicine, Kyung Hee University College of Medicine) ;
  • Cho, Chang-Hyun (Department of Internal Medicine, Kyung Hee University College of Medicine) ;
  • HwangBo, Young (Department of Internal Medicine, Kyung Hee University College of Medicine) ;
  • Shim, Jae-Joon (Department of Internal Medicine, Kyung Hee University College of Medicine) ;
  • Jang, Jae-Young (Department of Internal Medicine, Kyung Hee University College of Medicine) ;
  • Kim, Hyo-Jong (Department of Internal Medicine, Kyung Hee University College of Medicine) ;
  • Kim, Byung-Ho (Department of Internal Medicine, Kyung Hee University College of Medicine)
  • 조용덕 (경희대학교 의과대학 내과학교실) ;
  • 장영운 (경희대학교 의과대학 내과학교실) ;
  • 조창현 (경희대학교 의과대학 내과학교실) ;
  • 황보영 (경희대학교 의과대학 내과학교실) ;
  • 심재준 (경희대학교 의과대학 내과학교실) ;
  • 장재영 (경희대학교 의과대학 내과학교실) ;
  • 김효종 (경희대학교 의과대학 내과학교실) ;
  • 김병호 (경희대학교 의과대학 내과학교실)
  • Received : 2010.06.14
  • Accepted : 2010.08.03
  • Published : 2010.09.30
⟨ Previous Next ⟩

Abstract

The ingestion of a foreign body is common in children. But in adults, especially in those who have a mental illness, dysphagia, and consciousness disorders often occur. If a patient ingests more than two magnets, he can develop numerous complications such as bowel necrosis, perforation, and fistula formation. Here we report a case of a 32-year-old patient with gastro-colic fistula and peritonitis following ingestion of multiple magnets. In accidental ingestion of multiple magnets, early exploration should be considered.

한 개의 자석 이물을 삼킨 경우 크기와 형태를 고려하여 제거 여부를 결정하지만 여러 개의 자석을 삼킨 경우 위천공, 위장관 누공 형성 등의 합병증이 발생할 수 있다. 저자들은 정신질환 병력이 없는 32세 남자가 여러 개의 자석을 삼킨 후 위-결장 누공 형성과 복막염이 발생하여 수술로 제거 후 호전된 1예를 경험하여 이를 보고한다.

Keywords

References

  1. Horii K, Yamazaki O, Matsuyama M, Higaki I, Kawai S, Sakaue Y. Successful treatment of a hepatic abscess that formed secondary to fish bone penetration by percutaneous transhepatic removal of the foreign body: report of a case. Surg Today 1999;29:922-926. https://doi.org/10.1007/BF02482788
  2. Cauchi JA, Shawis RN. Multiple magnet ingestion and gastrointestinal morbidity. Arch Dis Child 2002;87:539-540. https://doi.org/10.1136/adc.87.6.539
  3. Ohno Y, Yoneda A, Enjoji A, Furui J, Kanematsu T. Gastroduodenal fistula caused by ingested magnets. Gastrointest Endosc 2005;61:109-110. https://doi.org/10.1016/S0016-5107(04)02387-9
  4. Toyonaga T, Shinohara M, Miyatake E, et al. Penetration of the duodenum by an ingested needle with migration of the pancreas: report of a case. Surg Today 2001;31:68-71. https://doi.org/10.1007/s005950170224
  5. Henderson CT, Engel J, Schleisinger P. Foreign body ingestion: review and suggested guidelines for management. Endoscopy 1987;19:68-71. https://doi.org/10.1055/s-2007-1018238
  6. Lee WH, Min YD, Moon KR. A case of gastroduodenal fistula caused by ingested magnetic foreign bodies. Korean J Pediatr Gastroenterol Nutr 2008;11:84-88.
  7. Goo MJ, Park JS, Kang SJ, et al. A case of ingested two magnets attracted each other that were holding gastric mucosa. Korean J Gastrointest Endosc 2006;32:275-277.