Kromhout Hedy E, Uijterschout Lieke, Koopman-Keemink Yvonne, Zijp Gerda W, Brus Frank
HagaZiekenhuis, locatie Juliana Kinderziekenhuis, afd. Kindergeneeskunde, Den Haag, the Netherlands.
Ned Tijdschr Geneeskd. 2010;154:A1917.
A 3-year-old boy presented at the emergency room with abdominal pain, nausea and non-bilious vomiting. Physical examination revealed moderate symptoms of dehydration, a tender and slightly extended but soft abdomen and active peristalsis. With the working diagnosis of viral gastroenteritis the boy was admitted to the hospital for rehydration therapy by nasogastric tube. After a few days an abdominal X-ray was taken because of bilious vomiting and persistent absence of defecation. Connected foreign bodies were seen in the small intestine. These appeared to be 3 magnetic toy parts. Laparotomy showed that all symptoms were due to a volvulus of the small intestine around a fistula caused by entrapment of the intestinal wall between attracted magnets. Magnetic construction toys can be bought in toy stores in the Netherlands. Vigilance should be exercised with magnetic toys, because ingestion of multiple magnets can cause potentially life-threatening bowel complications.
一名3岁男孩因腹痛、恶心和非胆汁性呕吐到急诊室就诊。体格检查发现有中度脱水症状，腹部压痛、轻度膨隆但柔软，肠蠕动活跃。初步诊断为病毒性肠胃炎，该男孩通过鼻胃管接受补液治疗后入院。几天后，由于胆汁性呕吐和持续无排便，进行了腹部X光检查。结果发现小肠内有相连的异物。这些异物似乎是3个磁性玩具部件。剖腹手术显示，所有症状都是由小肠围绕瘘管扭转引起的，瘘管是由肠壁被相互吸引的磁铁夹住所致。磁性建筑玩具在荷兰的玩具店可以买到。对于磁性玩具应保持警惕，因为吞食多个磁铁可能会导致危及生命的肠道并发症。
