막대자석 14개를 삼킨 12세 자폐아: 위내시경과 대장내시경을 이용한 단계적 배출
A Case of Magnet Ingestion in a Child with Autism: Gastro-Colonoscopic Removal without Surgical Complication
김주휘, 임미선, 김순철, 이은혜, 고재성, 서정기,
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김주휘 ( Kim Joo-Whee )
서울대학교 의과대학 소아과학교실
임미선 ( Lim Mi-Sun )
서울대학교 의과대학 소아과학교실
김순철 ( Kim Soon-Chul )
서울대학교 의과대학 소아과학교실
이은혜 ( Lee Eun-Hye )
서울대학교 의과대학 소아과학교실
고재성 ( Ko Jae-Sung )
서울대학교 의과대학 소아과학교실
서정기 ( Seo Jeong-Kee )
서울대학교 의과대학 소아과학교실
KMID : 0816120110140030299
Abstract
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.
키워드
Foreign body;Removal;Gastrointestinal endoscopy;Magnet;Children;Colonoscopy
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