title: Intestinal volvulus and perforation caused by multiple magnet ingestion: report of a case.
abstract: Ingested magnets can cause intestinal fistulas, perforation, and obstruction. There have been reports of magnet ingestion causing intestinal volvulus, but multiple magnet ingestion causing perforation and intestinal volvulus in a child is very unusual. We report the case of a 4-year-old girl, who ingested four magnets she acquired as toys, which caused intestinal volvulus and perforation as a result of pressure necrosis, several days after ingestion. At surgery we repaired two perforations, but additional bowel resection was not required. The patient was discharged on postoperative day 10. If multiple magnet ingestion is suspected in a child, the child must be monitored carefully. If there are signs of obstruction, emergency surgery is mandatory.
authors.affiliation: Department of Pediatric Surgery, Cerrahpaşa Medical Faculty, Istanbul University, Istanbul, Turkey.
authors.forename: Zekeriya
authors.initials: Z
authors.lastname: Ilçe
authors.forename: Hakan
authors.initials: H
authors.lastname: Samsum
authors.forename: Emil
authors.initials: E
authors.lastname: Mammadov
authors.forename: Sinan
authors.initials: S
authors.lastname: Celayir
mesh_terms: D002675:Child, Preschool; D005260:Female; D005547:Foreign Bodies / Q000150:complications*; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology* / Q000601:surgery; D007416:Intestinal Perforation / Q000209:etiology* / Q000601:surgery; D045822:Intestinal Volvulus / Q000209:etiology* / Q000601:surgery; D008280:Magnetics / Q000009:adverse effects* / Q000295:instrumentation