Pediatric magnet ingestions: the dark side of the force

Brown, Julie C.; Otjen, Jeffrey P.; Drugas, George T.

doi:10.1016/j.amjsurg.2013.12.028

Cited by 51 publications

(61 citation statements)

References 5 publications

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“…This study comprehensively investigated the locations and types of foreign bodies according to age groups. We identified previous studies demonstrating that cases of foreign body ingestion are markedly more common in children than in older populations . In accordance with this finding, among our participants, foreign bodies were also more common in younger age groups.…”

Section: Discussionsupporting

confidence: 91%

Analysis of ingested foreign bodies according to age, type and location: a retrospective observational study

Kim

Park

Kong

et al. 2016

Clinical Otolaryngology

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Section: Discussionsupporting

confidence: 91%

Analysis of ingested foreign bodies according to age, type and location: a retrospective observational study

Kim

Park

Kong

et al. 2016

Clinical Otolaryngology

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“…19 Notices of Noncompliance were issued to companies marketing high-powered magnetic products to children and other companies selling magnetic entertainment sets were advised to direct their marketing and labeling to adults. 8,10,19 Most of the importers who were selling the magnet sets voluntarily withdrew their products from the market in 2012, and the CPSC initiated administrative action against the remaining 3 importers. 19 The administrative complaints were settled with 2 of the companies in 2014 and recalls were issued for their products.…”

Section: Federal Regulation Of Rare-earth Magnetsmentioning

confidence: 99%

Rare-Earth Magnet Ingestion–Related Injuries in the Pediatric Population: A Review

Hodges

Denny

Smith

2015

American Journal of Lifestyle Medicine

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We would like to present a 6-week-old infant who presented with vomiting, refusal to eat and a distended abdomen for a few hours. Examination showed a distended, tympanic abdomen, with few to no abdominal sounds. Plain abdominal radiograph (Fig. 1) showed a 'coffee-bean' sign with air-fluid levels, confirming a sigmoid volvulus. A colonoscopy using a standard paediatric gastroscope was performed. Under direct endoscopic observation, the first whirl sign could be passed easily with subsequent aspiration of the air and fluid from within the loop. Because the second whirl sign could not be passed, the straightening, clockwise derotation manoeuver was performed just proximal to this. A drainage tube was left in place to prevent recurrence. As the infant had never passed stools spontaneously (after evacuation of meconium within 24 h after birth), anal manome-try was performed and rectal biopsies were taken. These were both suggestive for Hirschsprung's disease. Resection of the agan-glionic segment of the colon with primary anastomosis was performed a couple of weeks later. A recent case series showed endoscopic detorsion (common practice in adults) to be a successful first-line treatment option in children as well. 1 To our knowledge, this is the first report of endoscopic reduction in an infant; previous reports in neo-nates all reported spontaneous, radiological or surgical resolution. 2-4 Our non-surgical approach has the additional advantage to allow sigmoidectomy (which is often needed to prevent recurrence) in a non-inflamed situation with primary anastomosis, after completing the diagnostic work-up that should be done to exclude underlying conditions such as Hirschsprung's disease. Since a certain level of expertise and a paediatric gastroscope are needed for this endoscopic detorsion in an unwell infant, a transfer to a tertiary centre might be required.

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“…Même si la majorité (67 %) des enfants ayant ingéré des aimants avait entre 3 et 10 ans, cette étude montre qu'un tiers était âgé de moins de 3 ans et 12 % étaient atteints de troubles du comportement ou du développement. Dans beaucoup d'études, ce sont les enfants de plus de 3 ans, le plus souvent des garçons (58 à 73 %) qui ont ingéré des aimants [8,[10][11][12][13][14][15][16][17][18][19][20]. De plus, ces ingestions sont plus fréquentes chez ceux atteints de troubles neuro-développementaux (environ 10 %).…”

Section: Discussionunclassified

“…De plus, ces ingestions sont plus fréquentes chez ceux atteints de troubles neuro-développementaux (environ 10 %). Comme ces enfants ingèrent fréquemment plusieurs aimants et que l'ingestion n'est pas toujours visualisée, les complications digestives sont plus fréquentes [8,[10][11][12][13][14][15][16][17][18][19][20][21]. Dans notre série, les délais de consultation avaient été variables, de quelques minutes à quelques heures si les parents avaient assisté à l'ingestion, jusqu'à plusieurs semaines si celle-ci était passée inaperçue.…”

Section: Discussionunclassified

Ingestion de corps étrangers aimantés chez l’enfant : enquête multicentrique française

Talvard¹,

Mouttalib²,

Flaum³

et al. 2015

Archives de Pédiatrie

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Pediatric magnet ingestions: the dark side of the force

Cited by 51 publications

References 5 publications

Analysis of ingested foreign bodies according to age, type and location: a retrospective observational study

Analysis of ingested foreign bodies according to age, type and location: a retrospective observational study

Rare-Earth Magnet Ingestion–Related Injuries in the Pediatric Population: A Review

Ingestion de corps étrangers aimantés chez l’enfant : enquête multicentrique française

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