A case report of an asymptomatic male child with multiple entero-enteric fistulae post multiple magnet ingestion

Taher, Heba; Azzam, Ahmed M.; Khowailed, Omneya; Elseoudi, Mohamed; Shaban, Muayad; Eltagy, Gamal

doi:10.1016/j.ijscr.2019.03.043

Cited by 31 publications

(22 citation statements)

References 11 publications

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“…In some cases, because of the wrapping of the omentum after perforation or the formation of an internal fistula directly, the clinical symptoms are mild and the imaging findings are not typical. In this study, 20 cases had perforation, fistula, and obstruction, but five of them had mild or no symptoms and only four cases had typical changes on the radiographs, which is similar to several other reports [ 4 , 10 , 11 ]. Some children cannot provide the exact time of swallowing the magnets, which may delay the diagnosis and treatment.…”

Section: Discussionsupporting

confidence: 91%

Retrospective analysis of pediatric patients with multiple rare-earth magnets ingestion: a single-center experience from China

et al. 2021

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Background The aim of this study was to characterize patients who ingested multiple rare-earth magnets, reveal the harm of rare-earth magnet foreign bodies in the digestive tract, and develop a clinical management algorithm. Methods This was a retrospective review of patients with rare-earth magnet foreign bodies in the digestive tract admitted to a university-affiliated pediatric medical center in China, between January 2016 and December 2019; the subset of medical data evaluated included clinical symptoms, signs, treatments and outcomes. Results A total of 51 cases were included in this study, including 36(70.6%) males and 15(29.4%) females. The magnets were passed naturally in 24(47.1%) patients and removed by intervention in 27(52.9%) patients, including 5(9.8%) cases by endoscopy and 22(43.1%) cases by surgery. Twenty-two (43.1%)cases had gastrointestinal obstruction, perforation, and fistula. Compared with the non-surgical group, the time of the surgical group from ingestion to arriving at the hospital was longer([80(5–336) vs 26(2–216)]hours, p < 0.001) while there was no significant difference in the mean age or the number of magnets swallowed. Conclusions Magnets are attractive to children, but lead to catastrophic consequences including gastrointestinal obstruction, perforation, and surgical interventions when ingested multiple magnets. Endoscopic resection should be urgently performed in the presence of multiple magnets as early as possible within 24 h, even in asymptomatic patients.

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Section: Discussionsupporting

confidence: 91%

Retrospective analysis of pediatric patients with multiple rare-earth magnets ingestion: a single-center experience from China

et al. 2021

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show abstract

“…In some cases, because of the wrapping of the omentum after perforation or the formation of an internal stula directly, the clinical symptoms are mild and the imaging ndings are not typical. In this study, 20 cases had perforation, stula, and obstruction, but ve of them had mild or no symptoms and only four cases had typical changes on the radiographs, which is similar to several other reports 4,[10][11][12] . Some children cannot provide the exact time of swallowing the magnets, which may delay the diagnosis and treatment.…”

Section: Discussionsupporting

confidence: 91%

Retrospective analysis of pediatric patients with multiple rare-earth magnets ingestion: a single-center experience from China.

Zheng

Zhang

Yan

et al. 2020

Preprint

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Background The aim of this study was to characterize patients who ingested multiple rare-earth magnets, reveal the harm of rare-earth magnet foreign bodies in the digestive tract, and develop a clinical management algorithm. Methods This was a retrospective review of patients with rare-earth magnet foreign bodies in the digestive tract admitted to a university-affiliated pediatric medical center in China, between January 2016 and December 2019; the subset of medical data evaluated included clinical symptoms, signs, treatments and outcomes. Results A total of 51 cases were included in this study, including 36(70.6%) males and 15(29.4%) females. The magnets were passed naturally in 24(47.1%) patients and removed by intervention in 27(52.9%) patients, including five (9.8%) cases by endoscopy and 22(43.1%) cases by surgery. Twenty-two (43.1%) patients cases had gastrointestinal obstruction, perforation, and fistula. Compared with the non-surgical group, the proportion of males in the surgical group was higher (21/23 vs 15/28, p=0.004), and the time from ingestion to arriving at the hospital was longer (80(72) vs 26(5), hours, p=0.008). Conclusions Magnets are attractive to children, but lead to catastrophic consequences including gastrointestinal obstruction, perforation, and surgical interventions when ingested multiple magnets. Endoscopic resection should be urgently performed in the presence of multiple magnets as early as possible within 24 hours, even in asymptomatic patients. Trial registration The study will be retrospectively registered.

show abstract

Section: Discussionsupporting

confidence: 91%

“…The magnetic force of the rare-earth magnet is 30-50 times stronger than that of ordinary magnet and each rare-earth magnet can attract 640 times its own weight. After multiple rare-earth magnets were swallowed, they attracted each other tightly, resulting in local compression of the intestinal wall, ischemia, necrosis, perforation, internal stula, peritonitis, intestinal obstruction and even death 9 . The rare-earth magnets in toys that children swallow are generally small, and the perforation caused by their ingestion is also small.…”

Section: Discussionmentioning

confidence: 99%

Retrospective analysis of pediatric patients with multiple rare-earth magnets ingestion: a single-center experience from China.

Zheng

Zhang

Yan

et al. 2020

Preprint

View full text Add to dashboard Cite

Background The aim of this study was to characterize patients who ingested multiple rare-earth magnets, reveal the harm of rare-earth magnet foreign bodies in the digestive tract, and develop a clinical management algorithm. Methods This was a retrospective review of patients with rare-earth magnet foreign bodies in the digestive tract admitted to a university-affiliated pediatric medical center in China, between January 2016 and December 2019; the subset of medical data evaluated included clinical symptoms, signs, treatments and outcomes. Results A total of 51 cases were included in this study, including 36（70.6%） males and 15（29.4%） females. The magnets were passed naturally in 24（47.1%） patients and removed by intervention in 27（52.9%） patients, including 5（9.8%） cases by endoscopy and 22（43.1%） cases by surgery. Twenty-two（43.1%）cases had gastrointestinal obstruction, perforation, and fistula. Compared with the non-surgical group, the time of the surgical group from ingestion to arriving at the hospital was longer（［80（5-336） vs 26（2-216）］hours, p<0.001）while there was no significant difference in the mean age or the number of magnets swallowed. Conclusions Magnets are attractive to children, but lead to catastrophic consequences including gastrointestinal obstruction, perforation, and surgical interventions when ingested multiple magnets. Endoscopic resection should be urgently performed in the presence of multiple magnets as early as possible within 24 hours, even in asymptomatic patients.

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A case report of an asymptomatic male child with multiple entero-enteric fistulae post multiple magnet ingestion

Cited by 31 publications

References 11 publications

Retrospective analysis of pediatric patients with multiple rare-earth magnets ingestion: a single-center experience from China

Retrospective analysis of pediatric patients with multiple rare-earth magnets ingestion: a single-center experience from China

Retrospective analysis of pediatric patients with multiple rare-earth magnets ingestion: a single-center experience from China.

Retrospective analysis of pediatric patients with multiple rare-earth magnets ingestion: a single-center experience from China.

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