The magnetism of surgery: small bowel obstruction in an 8-year-old boy.
An 8-year-old boy with Asperger's syndrome presented with right-sided abdominal pain, which was consistent with a probable appendicitis, but revisiting the history with a high index of suspicion confirmed multiple foreign body ingestion to be the cause of his symptoms. An emergency laparotomy was performed. Multiple toy magnets and other metal objects were found, which were causing small bowel obstruction with interloop fistulation. Following removal and repair, the patient made an excellent recovery.
Colorectal Department, Poole Hospital, UK. roboclarke@msn.com
R
R
Clarke
T
T
Everett
A
A
Watts
T
T
Qureshi
D001064:Appendicitis / Q000175:diagnosis; D020817:Asperger Syndrome / Q000150:complications*; D002648:Child; D003937:Diagnosis, Differential; D005547:Foreign Bodies / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis / Q000601:surgery; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery*; D007421:Intestine, Small / Q000601:surgery*; D059346:Magnets; D008297:Male; D008487:Medical History Taking; D008670:Metals
D008670:Metals