Transmesocolic double gastro-enteric fistulas due to ingestion of 28 magnets

Surd, Adrian; Aldea, Cornel; Mironescu, Aurel; Gocan, Horatiu

doi:10.1016/j.epsc.2018.02.007

Cited by 3 publications

(1 citation statement)

References 8 publications

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“…Two cases involving esophagogastric and gastroenteric fistulas presented with upper GI bleeding due to mucosal erosion within the fistula tract. [ 12 , 55 ] Additionally, the coexistence of a fistula and volvulus has been reported in the literature. [ 38 ] Initially, the only symptom observed in our case was nonspecific abdominal pain.…”

Section: Discussionmentioning

confidence: 99%

Chronic jejuno-colonic fistula and intestinal malabsorption due to multiple magnet ingestions: A case report and systematic review

Özcan

2024

Ulus Travma Acil Cerrahi Derg

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Magnet ingestion in children can lead to serious complications, both acutely and chronically. This case report discusses the treatment approach for a case involving multiple magnet ingestions, which resulted in a jejuno-colonic fistula, segmental intestinal volvulus, hepatosteatosis, and renal calculus detected at a late stage. Additionally, we conducted a literature review to explore the characteristics of intestinal fistulas caused by magnet ingestion. A six-year-old girl was admitted to the Pediatric Gastroenterology Department presenting with intermittent abdominal pain, vomiting, and diarrhea persisting for two years. Initial differential diagnoses included celiac disease, cystic fibrosis, inflammatory bowel disease, and tuberculosis, yet the etiology remained elusive. The Pediatric Surgery team was consulted after a jejuno-colonic fistula was suspected based on magnetic resonance imaging findings. The physical examination revealed no signs of acute abdomen but showed mild abdominal distension. Subsequent upper gastrointestinal series and contrast enema graphy confirmed a jejuno-colonic fistula and segmental volvulus. The family later reported that the child had swallowed a magnet two years prior, and medical follow-up had stopped after the spontaneous expulsion of the magnets within one to two weeks. Surgical intervention was necessary to correct the volvulus and repair the large jejuno-colonic fistula. To identify relevant studies, we conducted a detailed literature search on magnet ingestion and gastrointestinal fistulas according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. We identified 44 articles encompassing 55 cases where symptoms did not manifest in the acute phase and acute abdomen was not observed. In 29 cases, the time of magnet ingestion was unknown. Among the 26 cases with a known ingestion time, the average duration until fistula detection was 22.8 days (range: 1-90 days). Fistula repairs were performed via laparotomy in 47 cases.

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Section: Discussionmentioning

confidence: 99%

Chronic jejuno-colonic fistula and intestinal malabsorption due to multiple magnet ingestions: A case report and systematic review

Özcan

2024

Ulus Travma Acil Cerrahi Derg

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Surgical management of pediatric multiple magnet ingestions in the past two decades of minimal access surgery- systematic review of operative approaches

Hayward,

Saxena

2024

Updates Surg

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Endoscopic removal of multiple magnetic foreign bodies in the stomach of a 2-year-old child

Frolov,

Kharitonova,

Karaseva

et al. 2023

Russian Journal of Pediatric Surgery

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Introduction. Foreign bodies in the gastrointestinal tract (GIT) is a serious problem in pediatric surgery. In recent years, the incidence of cases when children swallow magnets has increased significantly. Foreign bodies in the stomach, small and large intestines can cause their perforation.Purpose. To demonstrate a successful endoscopic removal of multiple magnetic foreign bodies which were in the stomach of a 2–yearold child for a long time.Description of clinical observation. Boy, 2 y.o., was admitted by the ambulance to the Clinical and Research Institute of Emergency Pediatric Surgery and Trauma in Moscow with suspected presence of multiple magnetic foreign bodies in the stomach and complaints of melena during the last 2 months, about which his parents repeatedly consulted their pediatrician. Two days before the admission, the parents found several magnetic balls in child's faeces and decided to visit the pediatrician for the second time. This time the child had X-ray examination and was transferred to the hospital. At the survey radiography and ultrasound examination of the abdominal cavity, the diagnosis of multiple foreign bodies in the stomach was confirmed. Esophagogastroduodenoscopy revealed a conglomerate of multiple magnetic foreign bodies that filled ½ of the stomach lumen. Under general anesthesia, 209 pieces of magnetic beans were endoscopically removed. Postoperative course was uneventful.Conclusion. If there is the slightest suspicion of a foreign body in the gastrointestinal tract and if there is a clinical picture of gastrointestinal bleeding, the child must be sent to surgical hospital for further examination and, if possible, for endoscopic management.

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Transmesocolic double gastro-enteric fistulas due to ingestion of 28 magnets

Cited by 3 publications

References 8 publications

Chronic jejuno-colonic fistula and intestinal malabsorption due to multiple magnet ingestions: A case report and systematic review

Chronic jejuno-colonic fistula and intestinal malabsorption due to multiple magnet ingestions: A case report and systematic review

Surgical management of pediatric multiple magnet ingestions in the past two decades of minimal access surgery- systematic review of operative approaches

Endoscopic removal of multiple magnetic foreign bodies in the stomach of a 2-year-old child

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