title: Laparoscopic diagnosis of magnetic malrotation with fistula and volvulus.
abstract: BACKGROUND
  Most foreign bodies that a child ingests pass harmlessly through the gastrointestinal tract. However, ingesting multiple magnets places a child at risk for serious viscus injury.
  
  
  METHODS
  A 16-y-old boy swallowed multiple magnets and presented with abdominal pain and emesis. Upon laparoscopy, the boy was found to have malrotation with volvulus caused by a cecal magnet attracted to a gastric magnet, resulting in a gastrocecal fistula.
  
  
  CONCLUSIONS
  We review the management of magnet ingestion with an emphasis on a high index of suspicion and the use of laparoscopy for diagnosis, as well as the consequences of a coexisting rotational anomaly.
authors.affiliation: Department of Surgery, State University of New York, Buffalo, NY, USA. kewooten@buffalo.edu
authors.forename: Kimberly E
authors.initials: KE
authors.lastname: Wooten
authors.forename: Charles W
authors.initials: CW
authors.lastname: Hartin
authors.forename: Doruk E
authors.initials: DE
authors.lastname: Ozgediz
mesh_terms: D000293:Adolescent; D002429:Cecal Diseases / Q000175:diagnosis / Q000209:etiology; D002432:Cecum / Q000293:injuries*; D003937:Diagnosis, Differential; D005547:Foreign Bodies / Q000150:complications / Q000175:diagnosis*; D005747:Gastric Fistula / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis* / Q000209:etiology; D045822:Intestinal Volvulus / Q000175:diagnosis* / Q000209:etiology; D010535:Laparoscopy / Q000379:methods*; D059346:Magnets; D008297:Male; D010988:Play and Playthings / Q000293:injuries