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BMJ Case Rep. 2010; 2010: bcr0120102667.
Published online 2010 October 12. doi:  10.1136/bcr.01.2010.2667
PMCID: PMC3029060
Reminder of important clinical lesson

The magnetism of surgery: small bowel obstruction in an 8-year-old boy


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.

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