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Removal of Multiple Ingested Magnets Through Laparoscopic Appendectomy in an Adolescent: A Report of Two Cases
Kaja Gizewska-Kacprzak1, Karol Nicieja1, Bartosz Gajek1
1Department of Pediatric and Oncological Surgery, Urology and Hand Surgery, Pomeranian Medical University in Szczecin, Szczecin, POL.
Abstract:
Magnet ingestion can lead to serious health issues, including inflammation, gastrointestinal tract perforation, and even life-threatening complications. Despite legislative actions and numerous reports on the dangers of magnet ingestion in children, it remains a significant public health concern. Physicians must remain vigilant in cases of acute abdomen with ambiguous symptoms or unclear history in young patients. Prompt diagnosis and surgical intervention in case of multiple magnet swallowing are crucial to prevent complications. We present two cases of successful removal of ingested magnetic spheres through laparoscopic appendectomy in adolescents. This study aimed to highlight the technical aspects of the procedure to share the benefits of minimally invasive surgery (MIS) in the management of magnetic foreign bodies (FBs) located in the appendix or cecum.
Insights
Ingesting multiple magnets poses serious health risks. Laparoscopic appendectomy successfully removed ingested magnetic spheres from adolescents, demonstrating a minimally invasive approach for gastrointestinal foreign bodies.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Medical Device Technology
Background:
- Magnet ingestion, particularly in children, presents significant health risks including gastrointestinal perforation and inflammation.
- Despite awareness and legislative efforts, pediatric magnet ingestion remains a critical public health issue requiring vigilant medical attention.
Observation:
- Two adolescent cases involving ingested magnetic spheres lodged in the appendix/cecum were successfully managed.
- The ingested foreign bodies (FBs) were removed using a laparoscopic appendectomy approach.
Findings:
- Minimally invasive surgery (MIS) proved effective for removing magnetic foreign bodies from the appendix and cecum.
- Laparoscopic appendectomy facilitated the successful retrieval of ingested magnetic spheres in both adolescent cases.
Implications:
- Highlights the efficacy of MIS in managing complex pediatric foreign body ingestions.
- Emphasizes the need for prompt diagnosis and surgical intervention in cases of multiple magnet ingestion.
- Provides insights into the technical aspects of laparoscopic management for appendiceal/cecal magnetic foreign bodies.
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