Bowel injuries caused by ingestion of multiple magnets in children: a growing hazard

Naji, Hussein; Isacson, Daniel; Svensson, Jan F.; Wester, Tomas

doi:10.1007/s00383-011-3026-x

Cited by 62 publications

(48 citation statements)

References 37 publications

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“…Single magnet ingestion is like swallowing any nonmagnetic foreign body, while multiple magnets can cause serious gastrointestinal complications like entero-enteric fistula formation, bowel with associated perforation, peritonitis, and bowel ischemia or necrosis (11,12).…”

Section: Discussionmentioning

confidence: 99%

A Case of 2-Year-Old Child with Entero-Enteric Fistula Following Ingestion of 25 Magnets

Pogorelić

Borić

Markić

et al. 2016

Acta Med. (Hradec Kralove, Czech Repub.)

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Summary:Introduction: Magnet ingestion usually does not cause serious complications, but in case of multiple magnet ingestion or ingestion of magnet with other metal it could cause intestinal obstruction, fistula formation or even perforation. Case report: We report case of intestinal obstruction and fistula formation following ingestion of 25 magnets in a 2-year-old girl. Intraoperatively omega shaped intestinal loop with fistula caused by two magnetic balls was found. Intestine trapped with magnetic balls was edematous and inflamed. Resection of intestinal segment was performed, followed by entero-enteric anastomosis. A total of 25 magnets were removed from resected intestine. Conclusion: Single magnet ingestion is treated as non-magnetic foreign body. Multiple magnet ingestion should be closely monitored and surgical approach could be the best option to prevent or to cure its complications.

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Section: Discussionmentioning

confidence: 99%

A Case of 2-Year-Old Child with Entero-Enteric Fistula Following Ingestion of 25 Magnets

Pogorelić

Borić

Markić

et al. 2016

Acta Med. (Hradec Kralove, Czech Repub.)

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“…This risk is often further increased by diagnostic and therapeutic delay 5 8. Therefore, we recommend children who have swallowed multiple and separate FBs capable of magnetic attraction to be admitted as inpatients, even if an initial trial of non-operative management with active observation is planned.…”

Section: Discussionmentioning

confidence: 99%

Swallowed magnets and batteries: a dangerous but not unexpected attraction

et al. 2013

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SUMMARYAn 18-month-old boy was witnessed swallowing a cluster of five magnetic toy balls. He was coincidentally noted on plain x-rays to have also recently swallowed a watch battery and a small screw. Initial outpatient management with serial review and x-rays was unsuccessful, and delayed inpatient surgical care by 9 days. Although the child never manifested features of systemic or gastrointestinal upset, emergency laparotomy confirmed a resultant jejunocolic fistula. This case demonstrates how clinical assessment of children who have swallowed magnets separately from each other can be falsely reassuring, and highlights the potential dangers of outpatient management. We recommend children who have swallowed separately >1 magnetic objects (or >1 objects capable of magnetic attraction) be managed as inpatients with active observation and timely foreign body removal. BACKGROUND

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“…However, there is no place in this algorithm for multiple magnets which are separated along their course in the gastrointestinal tract or when separation occurs on follow-up serial x-rays. In such cases, the potential of contraction of opposing magnets occurs and laparoscopy should be recommended as the first option for exploration [19].…”

Section: Discussionmentioning

confidence: 99%

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

Daškevičiūtė¹,

Kolevinskaitė²,

Trainavičius³

2017

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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.

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Bowel injuries caused by ingestion of multiple magnets in children: a growing hazard

Abstract: This report stresses the need for prompt follow-up and early detection of complications in order to operate those patients without delay. Laparoscopy is the method of choice in exploring the abdomen when perforation is suspected.

Cited by 62 publications

References 37 publications

A Case of 2-Year-Old Child with Entero-Enteric Fistula Following Ingestion of 25 Magnets

A Case of 2-Year-Old Child with Entero-Enteric Fistula Following Ingestion of 25 Magnets

Swallowed magnets and batteries: a dangerous but not unexpected attraction

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

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