An intestinal volvulus caused by multiple magnet ingestion: an unexpected risk in children

Nui, Akihiro; Hirama, Toshinori; Kimura, Tadashi; Maeda, Tomomi; Meguro, Makoto; Nagayama, Masatoshi; Matsuno, Takashi; Mizumoto, Takao; Hirata, Koichi

doi:10.1016/j.jpedsurg.2005.05.065

Cited by 58 publications

(45 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…If clinically undetected, the pressure necrosis of the intervening tissue will eventually lead to perforation and/or enteroenteric fistula formation. This is the most common finding in patients who swallow multiple magnets with 91% (10/11) of children previously reported in the literature having developed an enteroenteric fistula, or bowel perforation [6][7][8][9][10][11][12][13][14].…”

Section: Discussionmentioning

confidence: 99%

Magnetic attraction leading to a small bowel obstruction in a child

et al. 2007

View full text Add to dashboard Cite

Foreign body ingestion in small children is common yet only 1% of cases require operative management of associated complications (Arana et al. in Eur J Pediatr 160:468-472, 2001). A 6-year-old boy was referred to our institution with a 12 h history of abdominal pain. This pain was diffuse and crampy in nature and associated with multiple episodes of non-bilious, non-bloody emesis. On evaluation he was stable and his abdomen demonstrated slight distention and tenderness without peritoneal signs. Plain abdominal radiographs demonstrated some distended loops of small bowel and a radio-opaque foreign object within the mid-abdomen. A small bowel obstruction secondary to foreign body ingestion was diagnosed and an emergent laparotomy performed. Upon exploration, a transition zone was noted near the ileocecal valve. Further exploration revealed the obstruction to be caused secondary to the apposition of two small (8 mm) magnets, one in the proximal ileum and the other near the ileocecal valve, resulting in an internal hernia. The magnets were easily separated relieving the obstruction and both were removed via two small bowel enterotomies. After being presented with the magnets, his parents suspected that they came from the clothes of a Polly Pocket (Mattel, Inc., El Segundo, CA) doll. The patient had an uneventful post-operative course and was discharged to home on the second post-operative day. This case demonstrates the complications that may occur with multiple magnet ingestion. It highlights the need for close observation and early surgical intervention in children with a suspected history of foreign body ingestion, a clinical picture of gastrointestinal distress, and radiographic evidence of a radio-opaque foreign object.

show abstract

Section: Discussionmentioning

confidence: 99%

Magnetic attraction leading to a small bowel obstruction in a child

et al. 2007

View full text Add to dashboard Cite

show abstract

“…Most foreign bodies usually cause no harm and spontaneously pass the gastrointestinal tract without any treatment [5]. Although the ingestion of a single magnet may cause no problems, the multiple magnet ingestion can lead to significant gastrointestinal morbidity.…”

Section: Discussionmentioning

confidence: 99%

Magnetiniai svetimkūniai vaikų virškinamajame trakte: klinikinė išraiška, diagnostika, gydymas

Daškevičiūtė¹,

Kolevinskaitė²,

Trainavičius³

2017

View full text Add to dashboard Cite

Įvadas Dauguma į virškinamąjį traktą patekusių svetimkūnių pasišalina savaime, tačiau nuryti magnetiniai svetimkūniai dėl tarpusavio traukos per žarnyno sienas gali sukelti gyvybei grėsmingų komplikacijų.Tikslas Nustatyti magnetinių svetimkūnių virškinamajame trakte klinikinę išraišką, diagnostikos ir gydymo metodus.Metodai Atlikta retrospektyvioji VUL SK Vaikų ligoninėje 2011 m. sausio–2016 m. sausio mėn. laikotarpiu gydytų magnetinių svetimkūnių virškinamajame trakte atvejų analizė. Rinkti ir analizuoti pacientų demografiniai, klinikiniai, radiologiniai duomenys ir operacijų protokolai.Rezultatai Tiriamuoju laikotarpiu nustatyti septyni magnetinių svetimkūnių virškinamajame trakte atvejai. Trims pacientams magnetai rasti skrandyje, šiems pacientams simptomų nebuvo, dviem iš jų buvo atliktas endoskopinis magnetų šalinimas. Trims pacientams magnetai rasti plonojoje žarnoje, du pacientai skundėsi pilvo skausmais, abiem atliktas laparoskopinis magnetų šalinimas. Vienam besimptomiam pacientui magnetai rasti storojoje žarnoje, jie pasišalino savaime paskyrus vidurių laisvinamuosius vaistus.Išvados Diagnozavus magnetinius svetimkūnius virškinamajame trakte, pacientą būtina aktyviai stebėti arba magnetinius svetimkūnius šalinti dėl didelės komplikacijų rizikos.

show abstract

“…[3] One magnet may not cause any clinical problem but things get complicated if multiple magnets are swallowed, resulting in gastrointestinal complica- tions, including intestinal fistula formation, leading to intestinal obstruction or perforation. [4,5] A delay in the diagnosis facilitates necrosis of the intervening tissue, which will eventually lead to perforation and/or entero-enteric fistula formation and/ or bowel obstruction secondary to kinking, inflammatory reaction, and/ or internal herniation. [6,7] In our case enteroenteric fistula was detected peroperatively.…”

Section: Discussionmentioning

confidence: 99%

Multiple Magnet ingestion resulting in small bowel perforation: A case report

Gün

Günendi²,

Kılıç³

et al. 2013

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

Foreign body ingestion is a common clinical situation that is primarily diagnosed by emergency clinicians. Most foreign bodies can be evacuated without difficulty. Although rare, magnets that reach the lower intestinal tract may cause complications such as intestinal fistula formation, perforation, volvulus or appendicitis. We report herein a two-yearold girl who was admitted to our department 3 days ago with abdominal pain and non-bilious vomiting. Upon admission direct abdominal roentgenogram revealed a foreign body consisting of multiple spheric parts bound together forming a circle in the lower quadrants of the abdomen. Her family, unaware of this ingestion, stated that a magnetic toy matching the object present on the plain radiograph was lost several days ago. Surgical intervention showed a magnetic toy in the proximal part of the ileum causing multiple perforations in the intestinal wall and the neighboring mesentery. The ileal portion containing the magnet toy was seen folded over itself forming a blind loop. The patient was discharged uneventfully in the 7th postoperative day. Our case highlights a well known fact that foreign body ingestion in children may not have eye witnesses and should be taken into consideration when evaluating children with abdominal pain.Key Words: Ingested magnets in children; ingested foreign body.Yabancı cisim yutulması sıklıkla acil hekimlerinin karşılaş-tığı bir klinik durumdur. Çoğu yabancı cisim kendiliğinden çıkar. Ancak nadiren de olsa, distal intestinal sisteme ulaşabilen yabancı cisimler fistül, perforasyon, volvulus veya apandisit gibi komplikasyonlara yol açabilir. Bu yazıda, kliniğimize üç günlük karın ağrısı ve safrasız kusma şika-yeti ile başvuran iki yaşındaki kız hasta sunuldu. Başvuru esnasında çekilen ayakta direkt karın grafisinde, karın sağ alt kadranda halka yapısında birbirine bağlı birden fazla sayıda yabancı cisim izlendi. Aile yabancı cisim yutulması ile ilgili herhangi bir öykü vermedi ancak karın grafisinde izlenen yabancı cisme benzer bir oyuncak mıknatısın birkaç gün önce evde kaybolduğunu belirttiler. Cerrahi girişimde proksimal ileumda bağırsak duvarında ve komşu mezenterde çoğul bağırsak delinmesine yol açan halka şeklinde mıknatıslı oyuncak izlendi. Bu yabancı cismin yer aldığı ileal parça yabancı cismin şeklini alarak kendi üstüne katlanmış ve o da halka şeklini almıştı. Hasta ameliyat sonrası yedinci günde sorunsuz olarak taburcu edildi. Bu olgu ile çocuklarda yabancı cisim yutulmasında herhangi bir şahitin olmayabileceği ve karın ağrılarının değerlendirilmesinde bu durumun da hatırlanması gerektiğinin bir kere daha altı çizilmelidir.Anahtar Sözcükler: Çocuklarda yutulmuş mıknatıs; yutulan yabancı cisimler.

show abstract

An intestinal volvulus caused by multiple magnet ingestion: an unexpected risk in children

Cited by 58 publications

References 12 publications

Magnetic attraction leading to a small bowel obstruction in a child

Magnetic attraction leading to a small bowel obstruction in a child

Magnetiniai svetimkūniai vaikų virškinamajame trakte: klinikinė išraiška, diagnostika, gydymas

Multiple Magnet ingestion resulting in small bowel perforation: A case report

Contact Info

Product

Resources

About