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The magnetism of surgery: small bowel obstruction in an 8-year-old boy
Abstract:
An 8-year-old boy with Asperger's syndrome presented with right-sided abdominal pain, which was consistent with a probable appendicitis, but revisiting the history with a high index of suspicion confirmed multiple foreign body ingestion to be the cause of his symptoms. An emergency laparotomy was performed. Multiple toy magnets and other metal objects were found, which were causing small bowel obstruction with interloop fistulation. Following removal and repair, the patient made an excellent recovery.
Insights
A child with Asperger's syndrome experienced abdominal pain due to ingesting multiple toy magnets. Emergency surgery revealed and removed the foreign bodies, resolving the small bowel obstruction and fistulation, leading to a full recovery.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Neurodevelopmental Disorders
Background:
- Foreign body ingestion is a common cause of pediatric surgical emergencies.
- Abdominal pain in children, especially those with neurodevelopmental disorders like Asperger's syndrome, can present diagnostic challenges.
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Intestinal Obstruction I: Introduction
Intestinal Obstruction II: Pathophysiology
