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Endoscopic removal of high-powered magnets from the appendiceal orifice in an asymptomatic child

Jeanette Freeman1, Steven D Miller2, Brett J Hoskins3

  • 1Department of Pediatrics The Johns Hopkins University School of Medicine Baltimore Maryland USA.

JPGN Reports
|May 19, 2025
PubMed

Insights

Endoscopic removal of ingested high-powered magnets from the appendix prevented appendicitis in an asymptomatic child. This case highlights the importance of considering foreign body retention in the appendix.

Area of Science:

  • Pediatric Gastroenterology
  • Minimally Invasive Surgery

Background:

  • Ingestion of multiple magnets can cause serious complications like foreign body appendicitis.
  • Appendicitis occurs when an object obstructs the appendiceal orifice, with varied outcomes.
  • Surgical appendectomy is often required for magnet-induced appendicitis.

Purpose of the Study:

  • To report the first case of successful endoscopic removal of high-powered magnets from the appendix in an asymptomatic child.
  • To highlight a minimally invasive approach to prevent appendicitis from magnet ingestion.
  • To emphasize the diagnostic consideration of foreign body retention in the appendix.

Main Methods:

  • Endoscopic retrieval of ingested high-powered magnets.
  • Diagnostic imaging to confirm magnet location in the appendix.
  • Monitoring of asymptomatic pediatric patient post-intervention.

Main Results:

  • Successful endoscopic removal of magnets from the appendix without complications.
  • The child remained asymptomatic, avoiding appendicitis and surgery.
  • Magnets were confirmed to have failed to progress past the right lower quadrant.

Conclusions:

  • Endoscopic removal is a viable, potentially life-saving intervention for appendiceal foreign bodies.
  • Early consideration of foreign body retention is crucial in pediatric patients with ingested magnets.
  • This approach can prevent the need for appendectomy in select cases.
Keywords:
endoscopyforeign body appendicitismagnet ingestionpediatrics

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