A case of child death caused by intestinal volvulus following magnetic toy ingestion

Olczak, Mieszko; Skrzypek, Ewa

doi:10.1016/j.legalmed.2014.11.007

Cited by 12 publications

(14 citation statements)

References 10 publications

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“…In one reported case, an 8-year-old child with intestinal volvulus caused by two attracting magnets at different levels of the intestines died. 11 In addition, a patient diagnosed with complete small bowel obstruction due to the clasping of a segment of the ileum by attracting magnets in the cecum and transverse colon has been reported in another study. 15 Due to the potentially serious complications of ingesting multiple magnets, the NASPGHAN has called for a ban on the sale of products with high-powered neodymium magnets, such as Buckyballs and Buckycubes.…”

Section: Discussionmentioning

confidence: 94%

Magnet ingestion by children: A retrospective study in a medical center in Taiwan

Lai

Lin²,

Chang

et al. 2020

Pediatrics & Neonatology

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Background: The ingestion of multiple magnets may lead to severe complications including bowel obstruction, perforation, fistula, peritonitis, short bowel syndrome, life-threatening injuries, and even death. The annual case number of high-powered neodymium magnets ingestion has been increasing in the western world and the dearth of available data demonstrates that this issue has been neglected in Taiwan. Methods: We searched the electronic medical records of our institution for patients younger than 18 years old who were diagnosed with, who had ever visited our emergency department, or been hospitalized for magnetic foreign body ingestion between January 2009 and March 2018. Demographic data including the number, shape, and size of magnets ingested, the clinical presentation, type of intervention, and complications were reviewed. Results: Thirteen patients who met the enrollment criteria were analyzed. One patient was documented between 2009 and 2013, and twelve were documented between January 2014 and March 2018. Five of the cases documented between 2014 and 2018 had ingested Buckyballs. The median age of the patients was 5 years. All of the patients with clinical symptoms had ingested more than one magnet and required endoscopic or surgical intervention. Bowel perforation or deep ulcer with impending perforation was found in three patients during surgery. Conclusion: The number of children who visited our emergency department or were hospitalized due to the ingestion of magnets has increased recently. The presence of high power of neodymium magnets in many products increases the risk of ingesting multiple magnets resulting in serious

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Section: Discussionmentioning

confidence: 94%

Magnet ingestion by children: A retrospective study in a medical center in Taiwan

Lai

Lin²,

Chang

et al. 2020

Pediatrics & Neonatology

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“…Ingestion of a foreign body is an increasingly common clinical problem, especially in the pediatric population ( 1 ). Ingestion of two or more high-powered magnetic Buckyballs with unintentionally severe injury has been reported worldwide in the last decade ( 2 , 5 , 10 , 16 ). It occurs most frequently in children aged 1–5 years old ( 19 ), and there is male-to-female predominance of 1.3–3.9: 1 ( 15 , 16 , 20 ).…”

Section: Discussionmentioning

confidence: 99%

“…The management options of ingestion of multiple Buckyball are crucial to improve patients' outcomes. Patients who present with multiple Buckyball ingestion-related complications usually require emergent surgical interventions, including laparoscopic, laparoscopic-assisted, or open surgical procedures ( 7 , 10 , 17 ). However, in some cases, the Buckyballs may pass through the gastrointestinal tract spontaneously under close observation ( 13 ).…”

Section: Discussionmentioning

confidence: 99%

Pediatric Multiple High-Powered Magnetic Buckyballs Ingestion—Experience From Six Tertiary Medical Centers

Ding

Liu

Zhou

et al. 2022

Front. Public Health

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Multiple high-powered magnetic Buckyball ingestions may lead to a high risk of severe complications. Great concerns have been raised by public health workers, and it remains challenging for clinicians to solve this troublesome problem. We report a large case series of children with Buckyball ingestion from six tertiary medical centers. The clinical data, including demographics, medical history, diagnosis tools, management options, intraoperative or endoscopic findings, and outcomes, were retrospectively analyzed. Seventy-one children aged 1–13 years ingested 2–41 Buckyballs. Among them, Buckyballs passed spontaneously on 2–10 days post-ingestion in seven cases; gastroscopic removal was performed in 14 cases; laparoscopic removal in 13 cases; laparoscopic-assisted surgical removal in 6 cases; and open surgical removal in 31 cases. Surgical indications included small bowel obstruction, perforation, peritonitis, acute abdominal pain, or along with ingestion of other metallic foreign bodies. Among those who underwent a surgical procedure, primary intestinal repair was performed in 44 cases, enterectomy with primary anastomosis in 6 cases. The postoperative hospital stay ranged from 5 to 28 days. No major complications occurred. In unwitnessed cases, a vague medical history and nonspecific symptoms usually make the diagnosis difficult. The treatment options should include the watch-and-wait approach, endoscopic, laparoscopic-assisted, or open surgical removal of Buckyballs, with primary intestinal repair or anastomosis. Preventive measures, including children's not having access to Buckyballs, are essential to protect children from this kind of unintentional injury.

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“…We collected reports of accidental magnet ingestion from 2012 to 2019 using the following search formulations: “magnets”[MeSH Terms] OR “magnets”[All Fields] OR “magnet”[All Fields]) AND (“eating”[MeSH Terms] OR “eating”[All Fields] OR “ingestion”[All Fields]) AND (“child”[MeSH Terms] OR “child”[All Fields] OR “children”[All Fields]. A total of 54 patients 3,5,11‐47 were identified (Table 4). Fifty patients ingested multiple magnets.…”

Section: Discussionmentioning

confidence: 99%

“…Although most children with accidental FB ingestion are asymptomatic and FBs such as coin will pass with no gastrointestinal symptoms, button batteries, 2 multiple magnets 3 and magnets with metal objects 4 are known to sometimes cause life‐threatening complications. Deaths following multiple‐magnet ingestion have been reported 5 …”

Section: Introductionmentioning

confidence: 99%

A nationwide questionnaire survey on accidental magnet ingestion in children in Japan

et al. 2020

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Foreign body (FB) ingestion is a common accident encountered in daily paediatric practice. Three-fourths of patients with accidental FB ingestions occur in children aged ≤ 5 years. 1 Although most children with accidental FB ingestion are asymptomatic and FBs such as coin will pass with no gastrointestinal symptoms, button batteries, 2 multiple magnets 3 and magnets with metal objects 4 are known to sometimes cause life-threatening complications. Deaths following multiple-magnet ingestion have been reported. 5 Magnets are widely used in daily life as toys or pasting tools that are utilised to paste documents or photographs on metal products such as whiteboards and refrigerators. The number of accidental ingestions of magnets is increasing. 6,7 A study in the United States revealed an 8.5-fold increase of emergency department visits involving magnet ingestion. 6 The hazards of single-magnet ingestion

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A case of child death caused by intestinal volvulus following magnetic toy ingestion

Cited by 12 publications

References 10 publications

Magnet ingestion by children: A retrospective study in a medical center in Taiwan

Magnet ingestion by children: A retrospective study in a medical center in Taiwan

Pediatric Multiple High-Powered Magnetic Buckyballs Ingestion—Experience From Six Tertiary Medical Centers

A nationwide questionnaire survey on accidental magnet ingestion in children in Japan

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