Diagnosis and treatment of 8 cases of children ingesting multiple magnetic foreign bodies by mistake / 中国小儿急救医学

Objective To explore the clinical characteristics of multiple magnetic digestive tract for-eign bodies ingested by mistake,to review the previous literature and provide reference for clinical treatment. Methods The clinical data,treatment process and outcome of 8 cases of children with multiple magnetic for-eign bodies admitted to Shanxi Children′s Hospital were retrospectively analyzed,and relevant literatures were reviewed. Results Eight children with multiple magnets were aged 1 to 9 years old,and their medical history ranged from 5 hours to 2 months. Number of magnets ingested was 2-25. During the operation,6 patients were found with multiple intestinal perforations,1 with internal fistula and 2 with internal abdominal hernia,with at least 2 perforations and at most 6 perforations. The perforation sites located in the distal esophagus,stomach, duodenum,jejunum, ileum and colon. Seven cases were treated by emergency surgery, and 1 case was removed by colonoscopy and discharged after conservative treatment. One case underwent simple repair, 1 case underwent gastrojejunostomy,intestinal perforation repair;partial intestinal resection was performed in 2 places in 2 cases;partial intestinal resection was performed in 1 place and simple repair in the other places in 2 case;1 case of fistula in child with intestinal anastomosis laparoscopic exploration,incision bowel resec-tion. Seven cases recovered after surgical treatment. The child with intestinal obstruction after colonoscopy was discharged uneventfully 9 days later by conservative treatment, no complications occurred by followed-up. Combined with experience and literature,we developed a management algorithm for digestive tract magnet foreign body. Conclusion Accidental ingestion of multiple magnets can cause multiple digestive tract perfo-rations,internal hernia,intestinal obstruction and other serious diseases,which should be treated as soon as possible. Therefore,it is necessary to strengthen the understanding of multiple magnet foreign bodies in chil-dren,early detection and early treatment.

Diagnosis and treatment of 8 cases of children ingesting multiple magnetic foreign bodies by mistake / 中国小儿急救医学

Objective@#To explore the clinical characteristics of multiple magnetic digestive tract foreign bodies ingested by mistake, to review the previous literature and provide reference for clinical treatment.@*Methods@#The clinical data, treatment process and outcome of 8 cases of children with multiple magnetic foreign bodies admitted to Shanxi Children′s Hospital were retrospectively analyzed, and relevant literatures were reviewed.@*Results@#Eight children with multiple magnets were aged 1 to 9 years old, and their medical history ranged from 5 hours to 2 months.Number of magnets ingested was 2-25.During the operation, 6 patients were found with multiple intestinal perforations, 1 with internal fistula and 2 with internal abdominal hernia, with at least 2 perforations and at most 6 perforations.The perforation sites located in the distal esophagus, stomach, duodenum, jejunum, ileum and colon.Seven cases were treated by emergency surgery, and 1 case was removed by colonoscopy and discharged after conservative treatment.One case underwent simple repair, 1 case underwent gastrojejunostomy, intestinal perforation repair; partial intestinal resection was performed in 2 places in 2 cases; partial intestinal resection was performed in 1 place and simple repair in the other places in 2 case; 1 case of fistula in child with intestinal anastomosis laparoscopic exploration, incision bowel resection.Seven cases recovered after surgical treatment.The child with intestinal obstruction after colonoscopy was discharged uneventfully 9 days later by conservative treatment, no complications occurred by followed-up.Combined with experience and literature, we developed a management algorithm for digestive tract magnet foreign body.@*Conclusion@#Accidental ingestion of multiple magnets can cause multiple digestive tract perforations, internal hernia, intestinal obstruction and other serious diseases, which should be treated as soon as possible.Therefore, it is necessary to strengthen the understanding of multiple magnet foreign bodies in children, early detection and early treatment.

A Case of Ingesting Multiple Magnets Removed by Endoscopic Submucosal Dissection / 대한소화기내시경학회지

Foreign body ingestion is common in children, but magnet ingestion is rare. Ingestion of one magnet does not creat a serious problem; however, ingesting multiple magnet can lead to hazardous complications such as pressure necrosis, intestinal perforation, fistula formation, obstruction and intestinal volvulus. Most cases with complications after multiple magnet ingestion require surgical intervention. We report a case of a fistula following the ingestion of seven small, flat and round magnets that were removed successfully by endoscopic submucosal dissection without surgery.

A Case of Gastroduodenal Fistula Caused byIngested Magnetic Foreign Bodies / 대한소아소화기영양학회지

If multiple magnets are ingested, the potential exists for the magnets attracting one another across the gastrointestinal tract and inducing pressure necrosis, perforation, fistula formation, or intestinal obstruction. We report the case of a 12-year-old boy who suffered from a fistulous communication between the lesser curvature of the mid-body of the stomach and the duodenal bulb, caused by 4 ingested magnets (Singing Magnets, China). The patient presented with moderate mental retardation, a one-year history of cyclic vomiting, and abdominal discomfort. We present the findings of simple abdominal radiography, esophagogastroduodenoscopy, computed tomography, and upper gastrointestinal series. An emergency exploratory laparotomy was performed, which revealed a gastroduodenal fistula. Fistula repair and the removal of 4 magnetic toys were subsequently performed. We emphasize that clinicians who care for children should be aware of the hazards of magnetic toy ingestion.