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A foreign body causing a spontaneous gastrojejunostomy in a young child

Jinyong Hao1, Yanhu Feng1, Xiaojun Huang1

  • 1Department of Gastroenterology, Lanzhou University Second Hospital, No. 82, Linxia Street, Chengguan, Lanzhou 730030, Gansu, China.

The National Medical Journal of India
|August 16, 2021
PubMed

Insights

A child swallowed magnetic beads, causing perforations and a rare spontaneous gastrojejunostomy. Surgical removal was necessary after endoscopic methods failed, highlighting the dangers of ingested magnets.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Foreign Body Ingestion

Background:

  • Digestive tract foreign bodies are common emergency department presentations.
  • Ingestion of small magnetic beads poses unique risks due to their attraction.

Observation:

  • A 3-year-old boy ingested magnetic beads, leading to hospitalization.
  • Initial endoscopic removal attempts were unsuccessful.

Findings:

  • Magnetic beads caused perforations in the stomach and jejunum.
  • A spontaneous gastrojejunostomy formed due to the magnetic beads.
  • Laparoscopic surgery successfully removed 4 beads from the stomach and 8 from the jejunum.

Implications:

  • This case underscores the critical need for prompt diagnosis and intervention in pediatric foreign body ingestion.
  • Highlights the potential for severe complications, including gastrointestinal fistulas, from ingested magnets.
  • Emphasizes the importance of considering advanced surgical techniques when endoscopic removal fails.

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