Department of Internal Medicine, Pusan National University College of Medicine, Busan, Korea.
Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.
Korean J Gastroenterol. 2023 Oct 25;82(4):198-201. doi: 10.4166/kjg.2023.087.
Foreign body ingestion is commonly seen in children. However, occasionally it may also be seen among adults and is often associated with intellectual disability, psychiatric disorders, and alcoholism. Ingestion of a magnetic foreign body may cause complications such as gastrointestinal tract perforation, wherein emergency endoscopic removal of the foreign body is generally required. Here, we report a rare case of a 59-year-old male with an intellectual disability and psychiatric disorder in whom metallic objects in the stomach cavity were accidentally discovered during abdominal CT. Esophagogastroduodenoscopy revealed several metallic objects attached to two magnets, which had been ingested several years before and had remained in the stomach cavity. The magnets and metallic objects were safely removed endoscopically using rat-tooth forceps without complications.
异物吞食在儿童中较为常见。然而，在成人中也偶尔可见，且常与智力障碍、精神疾病和酗酒有关。吞食磁性异物可能导致胃肠道穿孔等并发症，通常需要紧急内镜取出异物。在此，我们报告一例罕见病例，一名 59 岁男性，智力障碍和精神疾病，腹部 CT 偶然发现胃腔内有金属物体。食管胃十二指肠镜检查显示有几个金属物体附着在两个磁铁上，这些磁铁是几年前吞食的，一直留在胃腔中。使用鼠齿钳安全地经内镜取出了磁铁和金属物体，没有发生并发症。
