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Multiple foreign body ingestion and ileal perforation.
Hirikati S Nagaraj1, Indira Sunil
1Division of Pediatric Surgery, Department of Surgery, University of Louisville, 233 East Gray Street, Suite 708, Medical Towers North, Louisville, KY, USA. hsnaga01@louisville.edu
Pediatric Surgery International
|September 1, 2005
Summary
Foreign body ingestion in children can cause serious complications. A case of ileal perforation occurred due to a swallowed alkaline disc battery, magnet, and steel ball forming a dangerous composite unit.
Area of Science:
- Pediatric Gastroenterology
- Surgical Pediatrics
- Foreign Body Ingestion
Background:
- Foreign body ingestion is a frequent pediatric concern, usually resolving without complications.
- Hazardous, multiple, or impacted foreign bodies pose significant risks.
Observation:
- A child ingested an alkaline disc battery, a magnet, and a steel ball.
- The objects became impacted in the ileum for 48 hours.
- The magnet and steel ball formed a composite unit; the battery and magnet attracted across the ileum.
Findings:
- The magnetic attraction between the ingested items caused intestinal necrosis.
- This resulted in a critical ileal perforation.
Implications:
- This case highlights the severe risks of ingesting magnetic and battery-type foreign bodies.
- Prompt diagnosis and surgical intervention are crucial for managing such pediatric emergencies.