Magnets ingestion as a rare cause of ileus in adults: a case report

Krstina Doklestić; Zlatibor Lončar; Bojan Jovanović; Jelena Veličković

doi:10.2298/VSP160214299D

Krstina Doklestić Clinical Center of Serbia, Clinic for Emergency Surgery, Belgrade, Serbia; University of Belgrade, Faculty of Medicine, Belgrade, Serbia
Zlatibor Lončar Clinical Center of Serbia, Clinic for Emergency Surgery, Belgrade, Serbia; University of Belgrade, Faculty of Medicine, Belgrade, Serbia
Bojan Jovanović Clinical Center of Serbia, Department for Anaesthesiology, Belgrade, Serbia; University of Belgrade, Faculty of Medicine, Belgrade, Serbia
Jelena Veličković Clinical Center of Serbia, Department for Anaesthesiology, Belgrade, Serbia; University of Belgrade, Faculty of Medicine, Belgrade, Serbia

DOI: https://doi.org/10.2298/VSP160214299D

Keywords: foreign bodies, magnetics, intestinal obstruction, digestive system surgical procedures,

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. Conclusion. Patients who ingested magnetic objects must be seriously considered and emergency laparotomy should be performed to prevent serious gastrointestinal complications.

Author Biographies

Krstina Doklestić, Clinical Center of Serbia, Clinic for Emergency Surgery, Belgrade, Serbia; University of Belgrade, Faculty of Medicine, Belgrade, Serbia

specijalista opšte hirurgije

dr sci. med.

Zlatibor Lončar, Clinical Center of Serbia, Clinic for Emergency Surgery, Belgrade, Serbia; University of Belgrade, Faculty of Medicine, Belgrade, Serbia

specijalista opšte hirurgije

dr sci. med.

Bojan Jovanović, Clinical Center of Serbia, Department for Anaesthesiology, Belgrade, Serbia; University of Belgrade, Faculty of Medicine, Belgrade, Serbia

specijalista anestezije

Jelena Veličković, Clinical Center of Serbia, Department for Anaesthesiology, Belgrade, Serbia; University of Belgrade, Faculty of Medicine, Belgrade, Serbia

specijalista anestezije

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