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Age: 2

Sex: Male

Indication: Ingested foreign body

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Case #10


Findings

  • Stacked radiopaque foreign bodies overlying the central abdomen
  • Nonobstructive bowel gas pattern
  • No abnormal intraabdominal mass effect or calcifications
  • No acute findings in the chest


Diagnosis

  • Ingested foreign bodies (magnets)

Sample Report

Stacked radiopaque foreign bodies overlying the central abdomen, concerning for stacked magnets. While these project over the gastric body/antrum, their location cannot be confidently determined on this single image. Recommend surgery consultation.

Nonobstructive bowel gas pattern.

No abnormal intraabdominal mass effect or calcifications.

No acute findings in the chest.


Discussion

  • Ingested magnets become dangerous when more than one is present because the magnets can become separated in different bowel loops and then trap bowel walls between them, leading to obstruction and/or pressure necrosis
  • When they are beyond the stomach on the initial radiograph, surgeons will often monitor patients with serial imaging to spontaneous passage, keeping a low threshold for intervention if signs of complication develop
  • Remember that when magnets appear stacked, there could be bowel walls trapped between them



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