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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Epub ahead of print

doi: https://doi.org/10.3342/kjorl-hns.2026.00129    [Epub ahead of print]
Simultaneous Tracheal and Esophageal Magnet Foreign Bodies in a Child: A Case Report
Jaemin Lee , Eui-Suk Sung , Jin-Choon Lee , Minhyung Lee
Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Yangsan Hospital, Pusan National University College of Medicine, Yangsan, Korea
소아에서 발생한 기도 및 식도 동시 거치 자석 이물 1예
이재민 , 성의숙 , 이진춘 , 이민형
부산대학교 의과대학 양산부산대학교병원 이비인후과학교실
Correspondence  Minhyung Lee ,Tel: +82-55-360-2132, Fax: +82-55-360-2162, Email: lee.minhyung.ent@gmail.com
Received: 27 February 2026; Revised: March 27, 2026   Accepted: 7 April 2026.  Published online: 15 July 2026.
ABSTRACT
Ingestion of multiple magnets is a growing concern as it often leads to severe complications like intestinal perforation or, rarely, tracheoesophageal fistula (TEF) due to magnetic attraction across tissue walls. We report a rare case of simultaneous tracheal and esophageal magnet foreign bodies found in a 9-year-old boy. Two adhered magnets were found across the trachea and esophagus, and six others in the intestine at day one of ingestion. To prevent acute desaturation, the tracheal magnet was prioritized and removed using a Storz ventilating bronchoscope. The esophageal magnet was subsequently identified and successfully extracted using a metallic suction tube, utilizing the property of magnets. This case emphasizes that early intervention is critical to prevent severe sequelae like TEF, as delayed management often results in fistula formation. A thorough understanding of magnet characteristics and surgical priority is essential for successful diagnosis and management of such complex foreign bodies.
Keywords: Airway obstruction Foreign body Magnets Tracheoesophageal fistula
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