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A Pediatric Concussion Model in Mice: Closed Head Injury with Long-Term Disorders (CHILD)
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Child with Closed Head Injury and Persistent Vomiting

Abdullah Khan1

  • 1Sidra Medical and Research Centre, Department of Emergency Medicine, Doha, Qatar.

Clinical Practice and Cases in Emergency Medicine
|June 13, 2024
PubMed

Insights

A child with autism experienced persistent vomiting after a head injury. Abdominal imaging revealed ingested magnets causing internal fistulas, highlighting the need to consider intra-abdominal issues in such cases.

Area of Science:

  • Pediatric Gastroenterology
  • Pediatric Surgery
  • Autism Spectrum Disorder

Background:

  • Vomiting after closed head injury (CHI) can indicate serious intracranial pathology.
  • Persistent vomiting warrants investigation for intra-abdominal causes, particularly in children with developmental challenges.

Purpose of the Study:

  • To report a rare case of enteroenteric fistula caused by ingested magnets in a child with autism and CHI.
  • To emphasize the importance of considering unwitnessed foreign body ingestion in children with autism presenting with persistent vomiting post-CHI.

Main Methods:

  • Case report of a six-year-old child with autism presenting with persistent vomiting after CHI.
  • Diagnostic imaging including head CT and abdominal radiography.
  • Surgical intervention for enteroenteric fistula secondary to magnet ingestion.

Main Results:

  • Head CT was normal, ruling out intracranial hemorrhage.
  • Abdominal radiography revealed multiple ingested rare-earth magnets.
  • Enteroenteric fistula formation was identified as the cause of persistent vomiting.

Conclusions:

  • Persistent vomiting after CHI in children with autism necessitates a thorough evaluation for intra-abdominal pathology.
  • Rare-earth magnet ingestion can lead to severe complications like enteroenteric fistulas.
  • Developmentally challenged children are at higher risk for unwitnessed foreign body ingestions.
Abstract

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