Material and methods. A retrospective analysis of medical records of two children. Anamnestic, clinical, diagnostic and intraoperative findings were analyzed.Purpose. To describe cases of trichobezoars in children : occurrence, diagnostics and treatment.Results. In the first case, a girl, aged 5, often swallowed her own hair after a psychological trauma; and at the age of 15 she complained of hair loss and anemia. In the second case, a boy was chewing and swallowing his own hair for 6 months under the emotional stress. Two weeks before hospitalization he complained of abdominal pain. In both cases, there were no history of intestinal obstruction. At the fibroesophagogastroduodenoscopy, foreign bodies were visualized which were diagnosed as trichobezoars. X-ray diagnostics confirmed foreign bodies in both patients. Those bodies had the shape of the stomach and had an inhomogeneous porous structure. The patients were operated: laparotomy, gastrotomy with removal of dense hair formation. Postoperative course was uneventful.Conclusion. Psychological situations provoked in children the obsessive trichotillomania and trichophagia due to which large trichobezoars were formed in the stomach.

Введение Дети нередко проглатывают случайно или преднамеренно предметы, становящиеся затем инородными телами желудочно-кишечного тракта (ЖКТ). В последние 15 лет возросло число случаев, когда инородными телами являются металлические изделия, обладающие большим магнитным полем [1-5]. Актуально то, что проглоченные магнитные тела в количестве двух и более активно взаимодействуют между собой и с объектами внешней среды, мигрируют с различной скоростью по отделам ЖКТ и вызывают разного рода осложнения (перфорацию кишечной стенки, инвагинацию, непроходимость кишечника, кровотечение, перитонит), которые могут привести к фатальному исходу [5-9]. Цель исследования-проанализировать варианты прохождения магнитных инородных тел

The purpose of the study. To describe a clinical case of sepsis in a child due to accidental ingestion of magnetic objects.Materials and methods. Medical records of a 3-year-old patient were analyzed. Clinical presentation of diffuse purulent peritonitis was found at admission. Sepsis was diagnosed according to age-specific criteria, laboratory test findings, evidence of infection and organ dysfunction.Results. During the surgery, diffuse fecal peritonitis was found, which had been caused by 9 unidentified magnetic foreign objects found in the intestinal lumen. The postoperative period had a severe course accompanied by developing cardiovascular, respiratory, and intestinal multiple organ failure..Conclusion. In young children, foreign magnetic bodies can damage the gastrointestinal tract.

G E N E R A L R E

Purpose. To describe the clinical observation of white spirit toxic effect resulting from an accidental fracture in a 2-year-old child. Materials and methods. Medical card retrospective analysis. Clinical and laboratory data were examined to estimate the functional state of a patient’s basic systems. Results and discussion. The cerebral and respiratory systems were rapidly affected in the acute period. Somatogenic stage of poisoning was complicated by the course of acute respiratory distress syndrome, toxic encephalopathy with a convulsive disorder, intestinal failure, and systemic inflammatory response syndrome. Conclusion. White spirit toxic effect in a child was manifested through long-term cerebral, respiratory and intestinal failure.