Intestinal perforation caused by magnetic toys

Anselmi, Esperanza Hernández; Román, C Gutiérrez San; Fontoba, Jose Enrique Barrios; González, L A García; Diéguez, E. Valdés; González, Javier Lluna; Molla, Amparo Roca; Viguer, C García-Sala; Montes, Jacinto Gómez; Orts, Héctor Cortina

doi:10.1016/j.jpedsurg.2006.12.066

Cited by 80 publications

(27 citation statements)

References 11 publications

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“…Four were review articles while the rest were case reports. Eight articles were in a foreign language and we were able to extract the required data from the abstracts of four [17,26,42,43], while the other four were excluded. The first published report was from Japan (Honzumi et al [6]).…”

Section: Results Of the Electronic Searchmentioning

confidence: 99%

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

et al. 2011

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Section: Results Of the Electronic Searchmentioning

confidence: 99%

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

et al. 2011

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“…Most children are asymptomatic, and the event goes without witness. Of those confirmed, less than 10% require intervention, and only approximately 1% require surgery [3,4,6,8-10]. However, ingestion of multiple magnetic objects is potentially very serious and the subject of increased medical scrutiny.…”

Section: Discussionmentioning

confidence: 99%

“…Others believe that multiple magnet ingestion can be safely, but closely observed and that surgical exploration should be performed only if the child begins to demonstrate these worrisome findings or, if serial radiographic examinations show an unchanged position of two or more magnets side-by-side [4,16,17]. If the magnets remain within the stomach and have not passed through the pylorus sphincter, then some authors advocate for endoscopic removal [6,16,17].…”

Section: Discussionmentioning

confidence: 99%

“…Magnets in plurality, however, are often attracted to each other even through intestinal walls and multiple reports of pressure necrosis, bowel perforation, volvulus, intestinal fistulas, and obstruction have been documented in the literature [1-4]. With these grim consequences, many pediatric surgeons view magnet ingestion as one of the few non-food ingestions that mandate surgical retrieval – independent of concerning signs, symptoms, or physical exam findings [4-7]. We present a case of unwitnessed magnet ingestion, potentially complicated by magnetic resonance imaging as part of the diagnostic evaluation.…”

Section: Introductionmentioning

confidence: 99%

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Unwitnessed magnet ingestion in a 5 year-old boy leading to bowel perforation after magnetic resonance imaging: case report of a rare but potentially detrimental complication

2012

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BackgroundThe ingestion of non-food items in children is a relatively common event, often unwitnessed, unknown, and unreported. For those children brought in for medical evaluation, less than 10% require intervention, and only 1% require surgery. This, however, is not the case for magnet ingestion. Magnets, in plurality, can become attracted to one another through intestinal walls, causing a variety of surgical emergencies.Case presentationWe present a case of unwitnessed multiple magnet ingestion in a 5 year-old boy who presented to the emergency department with the atypical chief complaint of neck pain. The diagnostic work-up including a neck magnetic resonance imaging (MRI) potentially led to bowel perforations managed definitely by a subsequent exploratory laparotomy. The child had an uneventful postoperative recovery and was discharged to home upon surgical recovery.ConclusionsInstitutions should make all possible efforts to attempt to prevent such potential life-threatening circumstances. We propose a screening tool that can further enhance the care of children who cannot or do not report unwitnessed magnetic ingestion prior to MRI evaluation.

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“…Many cases of ingestion of foreign bodies are noted in children between 6 months and 3 years of age1). Most of the foreign objects that are passed down to the stomach or to more distal sites are spontaneously excreted in feces without treatment.…”

Section: Introductionmentioning

confidence: 99%

An unusual cause of duodenal perforation due to a lollipop stick

et al. 2013

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Children have a natural tendency to explore objects with their mouths; this can result in the swallowing of foreign objects. Most ingested foreign bodies pass uneventfully through the gastrointestinal tract. However, some foreign bodies cause obstruction or perforation of the gastrointestinal tract, requiring surgical intervention. Perforation of the gastrointestinal tract may be associated with considerable morbidity and mortality. The most common sites of intestinal foreign body perforation are the ileocecal and rectosigmoid regions. Foreign body perforation of the duodenum is relatively uncommon. We report the first Korean case of duodenal perforation by an ingested 8-cm lollipop stick. Lollipops are popular with the children and fairly accessible to them, as most parents are not aware of their potential harm. Pediatric clinicians should be aware of the risks associated with lollipop stick ingestion. Our report also describes the feasibility and safety of laparoscopic diagnosis and management of pediatric patients with peritonitis induced by the ingestion of foreign bodies.

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Intestinal perforation caused by magnetic toys

Cited by 80 publications

References 11 publications

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

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

Unwitnessed magnet ingestion in a 5 year-old boy leading to bowel perforation after magnetic resonance imaging: case report of a rare but potentially detrimental complication

An unusual cause of duodenal perforation due to a lollipop stick

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