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

ABSTRACT

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.