Revisiting Swallowed Troubles: Intestinal Complications Caused by Two Magnets—A Case Report, Review and Proposed Revision to the Algorithm for the Management of Foreign Body Ingestion

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Figure 1.
Radiograph of the abdomen showing the magnets and bowel obstruction.
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Figure 2.
CT scan of the abdomen showing bowel obstruction and distortion by the magnets.
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Figure 3.
Algorithm for management of ingested foreign bodies.

Table 1.

Points of Gastrointestinal Tract Most Likely to Cause Delay

Esophagus	Post cricoids, aortic arch, left main bronchus and diaphragm
Stomach	Pylorus
Duodenum	Junction of second and third portion and the terminal portion
Small intestine	Meckel’s diverticulum, ileo-cecal region
Large intestine	Flexures and haustration of large intestine and rectum
Anatomic abnormality	Diverticula, sacculation, annular pancreas, adhesions

Table 2.

Symptoms in Order of Frequency

Adults	Children
1. Pain or discomfort on swallowing	1. Refusal to take food
2. Persistent sensation of FB on swallowing	2. Increased salivation
3. Blood-stained saliva	3. Pain or discomfort on swallowing
4. History of gagging or choking	4. Vomiting