Asian Journal of Case Reports in Surgery

Aims: This case report aims to highlight the serious complications arising from the ingestion of multiple magnetic foreign bodies in children, particularly focusing on a rare occurrence of double gastrocolic fistulas caused by the ingestion of 11 magnets with a metallic spring.

Presentation of Case:

A 10-year-old autistic child presented with abdominal pain and vomiting, leading to the discovery of multiple magnetic foreign bodies, resulting in a double gastrocolic fistula. Despite initial management attempts, surgical intervention became necessary after failed endoscopic extraction.

Discussion: The ingestion of magnetic foreign bodies poses significant challenges in diagnosis and management, especially in cases involving multiple magnets. Clinical presentations vary, and diagnosis may be delayed, particularly in patients unable to provide detailed medical history, such as autistic individuals. Diagnostic imaging, notably abdominal X-rays, may not always provide clear differentiation between magnetic and metallic foreign bodies. Treatment strategies range from conservative monitoring to surgical intervention, with emphasis on prompt action to prevent severe complications.

Conclusion: Awareness of the dangers associated with magnetic foreign body ingestion is crucial for early diagnosis and management, thereby minimizing morbidity and preventing potentially life-threatening complications. Efforts such as regulatory measures to restrict access to magnetic toys for young children are essential in mitigating the risks associated with these ingestions.