case_images: PMC10725092_01
case_images: Images obtained from CT scan, pathology, and endoscopy: (A) CT scan shows acute appendicitis, (B) upper arrow shows a bead bracelet was observed in the left upper diaphragm area; lower arrow shows an intramedullary nail fixation in the lumbar vertebrae, (C) CT scan shows the beaded foreign bodies were in the left middle and upper abdomen, surrounding radial artifacts are large, and the adjacent structures were not clearly displayed, (D) pathological image of appendicitis, (E) several independent metal spherical objects were observed the moment when the endoscope reached the gastral cavity, and (F) one of the beads was embeded deep in the gastric mucosa.
case_images: 10.1177_11795476231219076-fig1.jpg
case_images: PMC10725092_02_10.1177_11795476231219076-fig1.jpg
case_images: fig1-11795476231219076
case_images: The 2 operations were performed almost simultaneously, and we successfully performed laparoscopic appendectomy, appendicitis was later proved by pathological examination (Figure 1D). Several independent metallic spherical objects were observed when the endoscope reached the gastric cavity (Figure 1E and F), which was quite different from the integrated design of the pearl bands that we recognized.
case_images: PMC10725092_02
case_images: Images obtained from CT scan, pathology, and endoscopy: (A) CT scan shows acute appendicitis, (B) upper arrow shows a bead bracelet was observed in the left upper diaphragm area; lower arrow shows an intramedullary nail fixation in the lumbar vertebrae, (C) CT scan shows the beaded foreign bodies were in the left middle and upper abdomen, surrounding radial artifacts are large, and the adjacent structures were not clearly displayed, (D) pathological image of appendicitis, (E) several independent metal spherical objects were observed the moment when the endoscope reached the gastral cavity, and (F) one of the beads was embeded deep in the gastric mucosa.
case_images: 10.1177_11795476231219076-fig1.jpg
case_images: PMC10725092_02_10.1177_11795476231219076-fig1.jpg
case_images: fig1-11795476231219076
case_images: The 2 operations were performed almost simultaneously, and we successfully performed laparoscopic appendectomy, appendicitis was later proved by pathological examination (Figure 1D). Several independent metallic spherical objects were observed when the endoscope reached the gastric cavity (Figure 1E and F), which was quite different from the integrated design of the pearl bands that we recognized.
case_images: Images obtained during surgery: (A) the white arrow shows the magnetic bead penetrate the posterior gastric wall, (B) the upper arrow shows the hole on the posterior gastric wall; the lower arrow shows a hole on the wall of transverse colon penetrated by the bead, and (C) general observation of magnetic beads.
case_images: 10.1177_11795476231219076-fig2.jpg
case_images: PMC10725092_02_10.1177_11795476231219076-fig2.jpg
case_images: fig2-11795476231219076
case_images: During the operation, it was thought that the magnetic beads induced an internal fistula between the greater curvature of the stomach and the transverse colon (Figure 2A). For healthy individuals, foreign body is more likely impact into the anatomical position including anatomical stenosis position or angular area.   The separation continued until the magnetic beads were removed, leaving a 5 mm perforation against the junction of both the posterior gastric wall and the transverse colon (Figure 2B). All magnetic beads were removed from the abdomen (Figure 2C).