Striking multiple magnetic foreign bodies in the stomach

A 32-year-old man with a background of schizophrenia presented to gastroenterology outpatient clinic with upper abdominal discomfort and abnormal behavior for 1 day. The physical examination was characterized by a lack of cooperation. Computed tomography of the abdomen showed a rectangular-like metallic foreign body in the stomach without gastrointestinal perforation. The patient denied swallowing any foreign bodies. Owing to the large size of the metallic foreign body (13.0 by 4.7 by 3.7 cm), endoscopic removal was not attempted. Laparoscopic removal was attempted; however, conversion to an open procedure was performed, and two strings of magnets, approximately 60 pieces, were successful retrieved from the stomach, with no residual foreign bodies detected. At 1-month follow-up, he was without any discomfort.