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Published on: September 11, 2018
Bowel injuries caused by ingestion of multiple magnets in children: a growing hazard
Hussein Naji1, Daniel Isacson, Jan F Svensson
1Astrid Lindgren Children's Hospital, Karolinska University, Stockholm, Solna, Sweden. hussein.naji@karolinska.se
Insights
Management of ingested magnets in children lacks clear guidelines. Prompt follow-up and early detection of complications, such as perforations, are crucial for timely intervention and good outcomes.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Ingested magnetic objects in children pose a management challenge due to a lack of definitive guidelines.
- Multiple magnet ingestions can lead to severe gastrointestinal complications.
Purpose of the Study:
- To present clinical experience with pediatric patients who ingested multiple magnets.
- To emphasize the importance of strict follow-up protocols in managing such cases.
Main Methods:
- Retrospective review of four pediatric cases of multiple magnet ingestion.
- Literature search of MEDLINE and EMBASE for published reports on multiple magnet ingestion in children.
Main Results:
- Daily abdominal radiographs and clinical examination facilitated early detection of perforations in two patients.
- Laparoscopic repair of perforations led to rapid recovery and favorable cosmetic results.
- Literature search identified 52 additional cases of multiple magnet ingestion in children.
Conclusions:
- Prompt follow-up and early complication detection are essential for timely surgical intervention.
- Laparoscopy is the preferred method for abdominal exploration when perforation is suspected in cases of magnet ingestion.
Purpose:
There are no definite guidelines on the management of ingested magnetic objects in children. The aim of this study was to present our experience and to highlight the importance of strict follow-up.
Methods:
Within 6 months period, four children presented to the emergency department after ingestion of multiple magnets. We reviewed retrospectively the patients' documents, radiological reports, operative findings and outcome. We also performed a literature search for all reports of multiple magnets ingestion on MEDLINE and EMBASE.
Results:
Daily abdominal radiographs to monitor migration of magnetic objects together with clinical examination revealed early detection of perforations in two patients. Explorative laparoscopy and suturing of perforations resulted in a rapid recovery and good cosmetic appearance. Literature search resulted in 44 published articles with a total of 52 cases of multiple magnet ingestion in children.
Conclusions:
This report stresses the need for prompt follow-up and early detection of complications in order to operate those patients without delay. Laparoscopy is the method of choice in exploring the abdomen when perforation is suspected.
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