Ingestion of multiple magnets in children
Related Experiment Video
Updated: Sep 21, 2026

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
Published on: September 11, 2018
Yireh Han1, Joong Kee Youn1, Chaeyoun Oh2
1Department of Pediatric Surgery, Seoul National University Hospital, Seoul, Republic of Korea.
Insights
Multiple magnet ingestion in children can cause serious harm. Surgical removal is recommended for symptomatic children or those with no magnet migration, while asymptomatic cases may be observed.
Area of Science:
- Pediatric Gastroenterology
- Pediatric Surgery
- Emergency Medicine
Background:
- Ingestion of multiple magnets poses significant risks to children, including intestinal obstruction and perforation.
- Prompt and appropriate management is crucial for children presenting with multiple magnet ingestions.
Purpose of the Study:
- To describe an effective management approach for pediatric patients with multiple magnet ingestions.
- To analyze the outcomes of different management strategies.
Main Methods:
- Retrospective investigation of 9 children with multiple magnet ingestions across two Korean centers (2004-2018).
- Analysis of patient demographics, symptoms, management interventions, and clinical outcomes.
Main Results:
- The median age of affected children was 34 months, with vomiting and abdominal pain being common symptoms.
- 67% of children required surgical magnet removal due to lack of migration, suspected obstruction/perforation, or failed endoscopic removal.
- 33% of children were asymptomatic and managed conservatively with serial radiographs, showing successful outcomes.
Conclusions:
- Surgical intervention is indicated for children with symptoms of obstruction/perforation or absent magnet migration.
- Asymptomatic children can be safely managed with observation and serial radiography for 2-3 days.
Background:
The ingestion of multiple magnets is harmful in children because it can cause intestinal obstruction and/or perforation. We present an approach for the management of children visiting the emergency department with multiple magnet ingestion.
Methods:
We retrospectively investigated 9 children who presented to 2 centers in Korea between January 2004 and August 2018 with a history of multiple magnet ingestion. Demographics, major symptoms, management, and outcomes were analyzed.
Results:
Of the 9 children investigated, median age was 34 months with vomiting and abdominal pain as the most common initial symptoms. Six (67%) underwent surgical removal of the magnets after observing for mean 2.2 days. Reasons for surgical managements were no magnet migration on serial radiographs in 3, suspected obstruction or microperforation in 2 and failed endoscopic removal in 1. Three patients (33%) were asymptomatic and were treated with meticulous observation using serial plain radiographs for average 3.3 days. All patients discharged without adverse outcomes and complications.
Conclusions:
Surgical removal is warranted in patients with symptoms suspicious of intestinal obstruction and/or perforation or without magnet migration. Asymptomatic children can be observed over at least 2-3 days with serial simple radiographs while awaiting magnet migration.
Level Of Evidence:
IV.
Related Concept Videos
Magnetism
An individual magnetic pole cannot be isolated. No matter how small, every piece of a magnet contains a north pole and a south...
Diamagnetism
Diamagnetism was discovered by Anton Brugmans in 1778 when he observed that bismuth gets repelled by magnetic fields, thus theorizing that diamagnets get repelled by magnets.
Magnetic Resonance Imaging
Ferromagnetism
Magnetic Susceptibility and Permeability
When diamagnetic materials are placed under an external magnetic field, the moments opposite to the field are induced. Hence, the susceptibility for diamagnets has a minimal negative value of 10-5–10-6. Since...
Imaging Studies I: CT and MRI
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...

