Magnets ingestion as a rare cause of ileus in adults: A case report
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 re-ported a case o...
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| Format: | Article |
| Language: | English |
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2017-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2017/0042-84501600299D.pdf |
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| _version_ | 1850181881676431360 |
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| author | Doklestić Krstina Lončar Zlatibor Jovanović Bojan Veličković Jelena |
| author_facet | Doklestić Krstina Lončar Zlatibor Jovanović Bojan Veličković Jelena |
| author_sort | Doklestić Krstina |
| collection | DOAJ |
| description | 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 re-ported 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. Conclusion. Patients who ingested magnetic objects must be seriously considered and emergency laparotomy should be performed to prevent serious gastrointestinal complications. |
| format | Article |
| id | doaj-art-4b5d29880a7b41a8a5940c1793cfac49 |
| institution | OA Journals |
| issn | 0042-8450 2406-0720 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-4b5d29880a7b41a8a5940c1793cfac492025-08-20T02:17:48ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202017-01-0174111094109710.2298/VSP160214299D0042-84501600299DMagnets ingestion as a rare cause of ileus in adults: A case reportDoklestić Krstina0Lončar Zlatibor1Jovanović Bojan2Veličković Jelena3Clinical Center of Serbia, Clinic for Emergency Surgery, Belgrade + Faculty of Medicine, BelgradeClinical Center of Serbia, Clinic for Emergency Surgery, Belgrade + Faculty of Medicine, BelgradeFaculty of Medicine, Belgrade + Clinical Center of Serbia, Department for Anaesthesiology, BelgradeFaculty of Medicine, Belgrade + Clinical Center of Serbia, Department for Anaesthesiology, BelgradeIntroduction. 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 re-ported 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. Conclusion. Patients who ingested magnetic objects must be seriously considered and emergency laparotomy should be performed to prevent serious gastrointestinal complications.http://www.doiserbia.nb.rs/img/doi/0042-8450/2017/0042-84501600299D.pdfforeign bodiesmagneticsintestinal obstructiondigestive system surgical procedures |
| spellingShingle | Doklestić Krstina Lončar Zlatibor Jovanović Bojan Veličković Jelena Magnets ingestion as a rare cause of ileus in adults: A case report Vojnosanitetski Pregled foreign bodies magnetics intestinal obstruction digestive system surgical procedures |
| title | Magnets ingestion as a rare cause of ileus in adults: A case report |
| title_full | Magnets ingestion as a rare cause of ileus in adults: A case report |
| title_fullStr | Magnets ingestion as a rare cause of ileus in adults: A case report |
| title_full_unstemmed | Magnets ingestion as a rare cause of ileus in adults: A case report |
| title_short | Magnets ingestion as a rare cause of ileus in adults: A case report |
| title_sort | magnets ingestion as a rare cause of ileus in adults a case report |
| topic | foreign bodies magnetics intestinal obstruction digestive system surgical procedures |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2017/0042-84501600299D.pdf |
| work_keys_str_mv | AT doklestickrstina magnetsingestionasararecauseofileusinadultsacasereport AT loncarzlatibor magnetsingestionasararecauseofileusinadultsacasereport AT jovanovicbojan magnetsingestionasararecauseofileusinadultsacasereport AT velickovicjelena magnetsingestionasararecauseofileusinadultsacasereport |