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여러 개의 자석을 삼킨 소아: 병력 청취를 통한 의심의 중요성

A case of ingested multiple magnetic beads: the importance of suspicion based on medical history

대한소아응급의학회지 2020년 7권 1호 p.41 ~ 44
김광연,
소속 상세정보
김광연 ( Kim Kwang-Yeon ) - Catholic University College of Medicine Eunpyeong St. Mary’s Hospital Department of Pediatrics

Abstract


We report a 33-month-old boy who presented to the emergency department with mild periumbilical abdominal pain lasting for 3 days. A plain abdominal radiograph showed 7 magnetic beads, which were located possibly in the small intestine without a free air. His parents bought neodymium magnetic beads 10 days before the onset of the symptom, and did not witness swallowing of the beads. Contrary to the radiographic finding, laparoscopic exploration showed several perforations in the small intestine and mesocolon. He was discharged uneventfully on postoperative day 5. Ingested magnetic beads should be considered as a cause if a child with abdominal pain recently obtained or played with the beads.

키워드

Foreign Bodies; Intestinal Perforation; Laparoscopy; Magnetics; Neodymium

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