Magnetic bead toy ingestion: uses and disuses in children

Boma T Adikibi1, Marion Arnold, Gertruida van Niekerk

  • 1Department of Paediatric Surgery, Red Cross War Memorial Children's Hospital, Klipfontein Road, Cape Town 7700, South Africa. boma.adikibi@nhs.net

Insights

Ingested magnets can cause severe intestinal injury in children. A 2-year-old experienced peritonitis and bowel obstruction due to four ingested magnets, requiring surgical intervention.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Foreign Body Ingestion

Background:

  • Foreign body ingestion is a common pediatric emergency.
  • Ingestion of multiple magnets poses a unique risk of internal injury due to magnetic attraction.
  • Prompt diagnosis and surgical intervention are crucial for favorable outcomes.

Observation:

  • A 2-year-old female presented with acute peritonitis and small bowel obstruction.
  • Abdominal radiography revealed a radiopaque foreign body.
  • Laparotomy identified four magnets causing bowel perforations and entero-enteric fistulae.

Findings:

  • Surgical removal of the magnets was performed.
  • Debridement and closure of the perforated bowel segments were successfully completed.
  • The patient's condition was stabilized post-operatively.

Implications:

  • Highlights the critical danger of pediatric magnet ingestion.
  • Emphasizes the need for heightened awareness among healthcare providers.
  • Underscores the potential for severe morbidity and mortality in pediatric cases involving magnetic foreign bodies.

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