scholarly journals Clinical characteristics of magnetic foreign body misingestion in children

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yu Kun Huang ◽  
Shao Xian Hong ◽  
I. Hsin Tai ◽  
Kai Sheng Hsieh
Keyword(s):  
Laparoscopic Surgery ◽  
Foreign Body ◽  
Rural Areas ◽  
Intestinal Perforation ◽  
Foreign Bodies ◽  
Magnetic Beads ◽  
Abdominal Sonography ◽  
Mortality And Morbidity ◽  
Magnetic Foreign Body ◽  
Urban And Rural Areas

AbstractMagnetic foreign body misingestion (MFBM) is now occurring more frequently. It may cause remarkable mortality and morbidity in children. A retrospective analysis of the clinical data of children admitted to Xiamen Children’s Hospital between March 2017 and July 2020 due to accidental MFBM. A total of 14 children who had MFBM were collected, the proportion between urban and rural areas was 8:6, and the ratio of male to female was 6:1. The age ranged from 1.2 to 8.9 years (median 4.6 years). The number of magnetic foreign bodies ingested by mistake is 1 to 17 (average 6.5). Magnetic foreign objects are divided into magnets (3 cases) + magnetic beads (11 cases). About 40% (5/14) of this patient series showed no available misingestion history. Management includes: 4 cases of open surgery (including 1 case of laparoscopic transfer to operation), 3 cases of laparoscopic surgery, 2 cases of gastroscopy, 5 cases of conservative treatment of foreign bodies discharged through the anus. Of the 7 surgical cases, 6 cases presented with intestinal obstruction and intestinal perforation (at least 1 intestinal perforation and at most 5). Abdominal sonography has limitations in the detection of magnetic foreign bodies in the digestive tract. The proportion of laparoscopic surgery in the 7 surgical cases is nearly half. All surgical cases recovered smoothly after treatment. Our experience shows that MFBM is a big issue for the small children! The early symptoms of MFBM are often atypical especially among young children and MFBM may lead to severe adverse events. We proposed a management strategy for MFBM in children. We advise pediatricians/emergency physicians, parents/children’s guardians and society should raise the collaborated alertness of MFBM. Global awareness of risk prevention of magnetic material accidental ingestion cannot be overemphasized.

scholarly journals Clinical Characteristics of Magnetic Foreign Body Mis-ingestion in Children—A Big Issue for Small Children

2021 ◽  
Author(s):  
Yu Kun Huang ◽  
Shao Xian Hong ◽  
I Hsin Tai ◽  
Kai Sheng Hsieh
Keyword(s):  
Laparoscopic Surgery ◽  
Foreign Body ◽  
Rural Areas ◽  
Intestinal Perforation ◽  
Foreign Bodies ◽  
Magnetic Beads ◽  
Abdominal Sonography ◽  
Small Children ◽  
Mortality And Morbidity ◽  
Magnetic Foreign Body

Abstract Objective: Magnetic foreign body mis-ingestion (MFBM) is now occurring more frequently. it may cause remarkable mortality and morbidity in children. Methods: A retrospective analysis of the clinical data of children admitted to Xiamen Children's Hospital between March 2017 and July 2020 due to accidental MFBM. Results: A total of 14 children who had MFBM were collected, the proportion between urban and rural areas was 8:6, and the ratio of male to female was 6:1. The age ranged from 1.2 to 8.9 years (median 4.6 years). The number of magnetic foreign bodies ingested by mistake is 1 to 17 (average 6.5)。Magnetic foreign objects are divided into magnet (3 cases) + magnetic beads (11 cases). About 40%（5/14）of this patient series showed no available mis-ingestion history. Management includes: 4 cases of open surgery (including 1 case of laparoscopic transfer to operation), 3 cases of laparoscopic surgery, 2 cases of gastroscopy, 5 cases of conservative treatment of foreign bodies discharged through the anus. Of the 7 surgical cases, 6 cases presented with intestinal obstruction and intestinal perforation (at least 1 intestinal perforation and at most 5). Abdominal sonography has limitations in the detection of magnetic foreign bodies in the digestive tract. The proportion of laparoscopic surgery in the 7 surgical cases is nearly half. All surgical cases recovered smoothly after treatment.Conclusions: Our experience shows that MFBM is a big issue for the small children! The early symptoms of MFBM are often atypical especially among young children and MFBM may lead to severe adverse events. We proposed a management strategy for MFBM in children. We advise pediatricians/emergency physicians, parents/children’s guardians and society should raise the collaborated alertness of MFBM. Global awareness of risk prevention of magnetic material accidental ingestion cannot be overemphasized.

scholarly journals Traheobronchial foreign bodies: evaluation and retrieval by rigid bronchoscopy

2019 ◽  
Vol 5 (6) ◽  
pp. 1552
Author(s):  
Kunzes Dolma ◽  
Anchal Gupta ◽  
Apurab Gupta ◽  
Padam Singh Jamwal
Keyword(s):  
Foreign Body ◽  
Clinical Examination ◽  
Foreign Bodies ◽  
Standard Procedure ◽  
Neck Surgery ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Female Ratio ◽  
Mortality And Morbidity ◽  
Delay In Diagnosis

<p class="abstract"><strong>Background:</strong> The foreign body aspiration is one of the commonest ENT emergencies. Delay in diagnosis and treatment may lead to significant morbidity and mortality.</p><p class="abstract"><strong>Methods:</strong> The current study was conducted at Department of Otorhinolaryngology and Head and Neck Surgery, SMGS Hospital, Government Medical College, Jammu, from November 2017 to October 2018. All symptomatic patients diagnosed with foreign body aspiration on the basis of history, clinical examination and radiological evaluation and who underwent rigid bronchoscopic retrieval were included in the study. Fifty patients were studied.  </p><p class="abstract"><strong>Results:</strong> The majority of patients 33 (66%) were between 1 and 3 years of age.12 (24%) patients were over 3 years of age with oldest of 57 years old age with male: female ratio of 2.1:1. The clinical features of these patients were mainly cough, respiratory distress, wheeze, fever, stridor, choking and cyanosis. On bronchoscopy, foreign body was identified in 46 (92%) patients and no foreign body was seen in 4 (8%) patients with suspected foreign body aspiration. The most common type of foreign body was organic (73.91%), with peanuts (47.82%) being the commonest. The most common site was left bronchus seen in 22 (47.83%) patients followed by right bronchus seen in 18 (39.13%) and trachea seen in 6 (13.04%) patients. Overall mortality and morbidity rates were 2.17% and 4.35% respectively.</p><p><strong>Conclusions:</strong> History and clinical examination should be more relied upon as diagnostic tool than radiological findings in diagnosing foreign body inhalation. Rigid bronchoscopic removal of foreign body is the standard procedure for removing tracheobronchial foreign bodies. </p>

scholarly journals Simultaneous Esophageal and Tracheal Obstructions Caused by a Pair of Magnetic Beads in a Child: A Case Report

2021 ◽  
Vol 9 ◽  
Author(s):  
Huan Ren ◽  
Dong Shi ◽  
Zhaowei Gu ◽  
Zhiwei Cao
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Magnetic Beads ◽  
Medical Personnel ◽  
The Other ◽  
Esophageal Foreign Body ◽  
Esophageal Obstruction ◽  
Pediatric Emergencies ◽  
High Index Of Suspicion

Esophageal and tracheal foreign body ingestion trigger common pediatric emergencies. In this case report, we describe a pediatric patient with simultaneous tracheal and esophageal obstruction caused by foreign bodies. A child aged 2 years and 1 month swallowed a pair of metallic magnetic beads at the same time; one bead entered the trachea and the other bead entered the esophagus. We suspected that the two magnetic beads were mutually attracted and thus became trapped in their respective lumina. The tracheal foreign body was uneventfully removed; this dislodged the esophageal foreign body, which was then excreted. There were no serious complications in the present case, but parents and medical personnel should be mindful of the potential hazards associated with ingestion of multiple magnetic foreign bodies. A high index of suspicion is appropriate. Investigations must be carefully planned. Treatment should not be delayed; the consequences of delay may be serious.

A Cross-Sectional Study of Clinical Profile and Outcome in Children with Foreign Body Aspiration at a Tertiary Care Centre in Telangana

2021 ◽  
Vol 8 (26) ◽  
pp. 2306-2310
Author(s):  
Sreelatha Martha ◽  
Nirmala Cherukuri ◽  
Usharani Thota ◽  
Prasanna Kumar Korvani ◽  
Keerti Neelgiri ◽  
...  
Keyword(s):  
Foreign Body ◽  
Clinical Features ◽  
Foreign Bodies ◽  
Main Bronchus ◽  
Tertiary Care ◽  
Foreign Body Aspiration ◽  
Clinical Profile ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Mortality And Morbidity

BACKGROUND Foreign body aspiration (FBA) in children is one of the major causes of death in developing countries, the diagnosis of which can be missed due to varied presentation. It is one of the causes of choking among children which, if not recognized early may lead to fatal consequences. Early recognition and prompt intervention may reduce the mortality and morbidity. In this study, we wanted to assess the clinical profile of children with foreign body aspiration/ingestion, determine the nature and location of foreign body and also determine the outcome among children with foreign body aspiration at a tertiary care centre. METHODS This cross-sectional study was taken up to analyse the clinical profile, to study the types, location and the outcome of children with foreign body aspiration. All children in the age group of 2 months to 12 years admitted to Niloufer hospital, Hyderabad from January 2018 to December 2019 with either history of FBA or clinical features suggestive of FBA even in the absence of history were included in the study. Age, sex, clinical features (C/F), duration of illness were noted. A chest X-ray was done in all cases, whereas a computed tomography (CT) scan was done in children where clinical features & chest X-rays were inconclusive. All children fulfilling the inclusion criteria were subjected to bronchoscopy under general anaesthesia by ENT surgeons. The findings like type and location of the foreign bodies were noted. Statistical analysis was done by statistical package for social sciences (SPSS) software version 10.0. RESULTS Of 108 children studied, 60 % of cases were males and 40 % were females. 55 % of cases were below the age of 3 years. Common symptoms were rapid breathing (68 %) and cough (38.8 %). Nuts & seeds were the common foreign bodies seen in 47.30 %, out of which groundnuts were the most common. Organic foreign bodies accounted for 58.11 % while inorganic was 41.89 %. The common site of lodgement of foreign body was right main bronchus (35.59 %), followed by left main bronchus (27.11 %) and sub-glottis (8.47 %). CONCLUSIONS Foreign body aspiration is difficult to diagnose in children and a delay in diagnosis can lead to mortality and morbidity. Early intervention by bronchoscopy goes a long way in improving survival. Clinical suspicion is the key to the diagnosis. KEYWORDS Foreign Body, Bronchoscopy, Children

scholarly journals Magnetic Foreign Body Ingestion in Children: The Attractive Hazards

2019 ◽  
Vol 2019 ◽  
pp. 1-4 ◽  
Author(s):  
Anna Lin ◽  
Lawrence Chi Ngong Chan ◽  
Kam Lun Ellis Hon ◽  
Siu Yan Bess Tsui ◽  
Kristine Kit Yi Pang ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Intestinal Resection ◽  
Foreign Body Ingestion ◽  
Surgical Removal ◽  
Intestinal Necrosis ◽  
Gastrointestinal Injury ◽  
Magnetic Attraction ◽  
Childhood Population ◽  
Magnetic Foreign Body

Foreign body ingestions are frequent in the childhood population. Most foreign bodies are passed spontaneously through the gastrointestinal tract. However, on occasion, they can also be a rare cause of morbidity and even mortality, such as in the case of multiple magnetic foreign body ingestion, which can cause injury via magnetic attraction through bowel walls. We present two cases of multiple magnetic foreign body ingestion, which to our knowledge are the first ones reported in Hong Kong. One patient presented with shock and intestinal necrosis requiring extensive intestinal resection, whereas the other patient had no gastrointestinal injury but surgical removal was deemed necessary.

scholarly journals Intestinal perforation by ingested foreign bodies

2017 ◽  
Author(s):  
Xinping Li ◽  
Bujun Ge ◽  
Hongmei Zhao ◽  
Wei Jin ◽  
Daojing Huang ◽  
...  
Keyword(s):  
Foreign Body ◽  
Intestinal Perforation ◽  
Foreign Bodies ◽  
Bowel Perforation ◽  
Optimal Choice ◽  
Diagnosis And Treatment ◽  
Foreign Body Ingestion ◽  
X Ray ◽  
Common Location ◽  
Background Data

Abstract Objective The aim of our manuscript is to study the incidence, diagnosis, and treatment of bowel perforation by foreign body ingestion. Summary of Background Data Bowel perforation, by foreign body ingestion, has been believed to be relatively rare, and most commonly caused by fish bones, chicken bones, and toothpicks. Our clinical experience,however, suggests such perforations may be more common than previously thought, and caused by various other objects as well. Methods Medical records of all patients diagnosed with foreign body-induced intestinal perforation, from the Department of General Surgery at Shanghai Tongji Hospital, from January 2000 to June 2015, were retrospectively analyzed. Results Among the 25 total patients, 4 ingested foreign bodies intentionally, while the other 21 cases were accidental.The foreign bodies were identified by plain X-ray film in 2 patients and by multidetector computed tomography (MDCT) in 11 patients, thus supporting the correct preoperative diagnosis (13 cases, 52%). The most common location of the perforation was the terminal ileum (n = 17).The offending objects were date stones (n=13), bones(n=7), and metallic objects (n=5). The most common treatment was removal ofthe foreign body and closure of the perforation with simple suture(n=22). Ten patients were treated laparoscopically. Conclusion The present study shows that the most common foreign bodies causing intestinal perforation are date stones and bones. Although about 50 percent of the foreign bodies could be identified by MDCT, definite diagnosis remained preoperatively difficult. Laparoscopy may be the optimal choice for diagnosis and treatment of bowel perforation by foreign bodies.

scholarly journals Intestinal perforation by an ingested foreign body

2016 ◽  
Vol 49 (5) ◽  
pp. 295-299 ◽  
Author(s):  
Gabriel Cleve Nicolodi ◽  
Cesar Rodrigo Trippia ◽  
Maria Fernanda F. S. Caboclo ◽  
Francisco Gomes de Castro ◽  
Wagner Peitl Miller ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Foreign Body ◽  
Peritoneal Cavity ◽  
Intestinal Perforation ◽  
Foreign Bodies ◽  
Intestinal Wall ◽  
X Rays ◽  
Dental Prostheses ◽  
Mesenteric Fat ◽  
Ingested Foreign Body

Abstract Objective: To identify the computed tomography findings suggestive of intestinal perforation by an ingested foreign body. Materials and Methods: This was a retrospective study of four cases of surgically proven intestinal perforation by a foreign body, comparing the computed tomography findings with those described in the literature. Results: None of the patients reported having ingested a foreign body, all were over 60 years of age, three of the four patients used a dental prosthesis, and all of the foreign bodies were elongated and sharp. In all four patients, there were findings indicative of acute abdomen. None of the foreign bodies were identified on conventional X-rays. The computed tomography findings suggestive of perforation were thickening of the intestinal walls (in all four cases), increased density of mesenteric fat (in all four cases), identification of the foreign body passing through the intestinal wall (in three cases), and gas in the peritoneal cavity (in one case). Conclusion: In cases of foreign body ingestion, intestinal perforation is more common when the foreign body is elongated and sharp. Although patients typically do not report having ingested such foreign bodies, the scenario should be suspected in elderly individuals who use dental prostheses. A computed tomography scan can detect foreign bodies, locate perforations, and guide treatment. The findings that suggest perforation are thickening of the intestinal walls, increased mesenteric fat density, and, less frequently, gas in the peritoneal cavity, often restricted to the point of perforation.

scholarly journals A Comparative Study on Factors Leading To Early Weaning Among Urban and Rural Mothers of Infants in Selected Community Areas at Mangalore

2016 ◽  
Vol 06 (04) ◽  
pp. 60-67
Author(s):  
Teena J. Jose ◽  
Sujatha R.
Keyword(s):  
Comparative Study ◽  
Urban Area ◽  
Rural Areas ◽  
Sampling Technique ◽  
Early Weaning ◽  
Mortality And Morbidity ◽  
Significant Difference ◽  
Urban And Rural Areas ◽  
The One ◽  
Rural Mothers

AbstractEarly weaning is considered as one of the major health issue and it is recognized as the one of the leading cause of mortality and morbidity of infants in many developing countries. A comparative study was done to identify the factors leading to early weaning among mothers of infants in selected areas at Mangalore. Non probability sampling technique and purposive sampling method was used to select 70 early weaned mothers from 300 screened mothers residing at urban area and 50 early weaned mothers from 300 screened mothers of children less than 1 year of age from rural areas at Mangalore. The findings of the study show that there is a significant difference in the number of early weaned mothers of infant when comparing to the urban and rural areas. Hence it is concluded that the early weaning is more common in urban area than in the rural area.

scholarly journals Rare foreign bodies of upper aerodigestive tract: a study of 30 cases

2020 ◽  
Vol 6 (7) ◽  
pp. 1307
Author(s):  
Vivek Samor ◽  
Deepchand Sarowa ◽  
Pooja D. Nayak ◽  
Vaibhav Saini ◽  
Gagandeep Kaur ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Clinical Presentation ◽  
Aerodigestive Tract ◽  
Upper Aerodigestive Tract ◽  
Common Procedure ◽  
Female Ratio ◽  
Mortality And Morbidity ◽  
High Degree ◽  
Male To Female

<p class="abstract"><strong>Background:</strong> Aero-digestive foreign bodies are prevalent in our part of the country. Apart from the usual foreign body we encountered some unique foreign bodies, the diagnosis and management of which, is difficult due to varied and overlapping clinical presentation. Rare foreign bodies in the aero-digestive tract pose challenges in diagnosis and treatment.</p><p class="abstract"><strong>Methods:</strong> This was a retrospective observational study on thirty patients with aerodigestive foreign bodies who visited our hospital from July 2015 to October 2017.  </p><p class="abstract"><strong>Results:</strong> Maximum number of cases was seen in age group of 0-5 years. The male to female ratio was 2:1. Among various types of foreign bodies, majority were metallic (43.3%). The most common site was cricopharynx (53.3%) followed by bronchus (26.6%) and esophageal (16.6%). The most common procedure done was hypopharyngoscopy (53.3%).</p><p class="abstract"><strong>Conclusions:</strong> Aerodigestive tract foreign bodies are one of the emergencies that have considerable mortality and morbidity. High degree of skill and suspicion are required by surgeon for the management of foreign body.</p>

scholarly journals Magnitude and Correlates of Caesarean Section in Urban and Rural Areas: A Multivariate Study in Vietnam

2019 ◽  
Author(s):  
Myriam de Loenzien ◽  
Clémence Schantz ◽  
Bich Ngoc Luu ◽  
Alexandre Dumont
Keyword(s):  
Caesarean Section ◽  
Rural Areas ◽  
Urban Areas ◽  
National Level ◽  
Multivariate Logistic Regression Analysis ◽  
Reproductive Age ◽  
Middle Income ◽  
Mortality And Morbidity ◽  
Healthcare Facilities ◽  
Urban And Rural Areas

AbstractCaesarean section can prevent maternal and neonatal mortality and morbidity. However, it involves risks and high costs which can be a burden, especially in low and middle income countries. The international healthcare community considers the optimal caesarean rate to be between 10% and 15%. The aim of this study is to assess its magnitude and correlates among women of reproductive age in urban and rural areas in Vietnam. We analyzed microdata from the national Multiple Indicator Cluster Survey (MICS) conducted in 2013-2014 using representative sample of households at the national level as well as regarding the urban and the rural areas. A total of 1,378 women who delivered in institutional settings in the two years preceding the survey were included. Frequency and percentage distributions of the variables were performed. Bivariate and multivariate logistic regression analysis were undertaken to identify the factors associated with caesarean section. Odds ratios with 95% confidence interval were used to ascertain the direction and strength of the associations. The overall CS rate among the women who delivered in healthcare facilities in Vietnam is particularly high (29.2%) with regards to WHO standards. After controlling for significant characteristics, living in urban areas more than doubles the likelihood of undergoing a CS (OR = 2.31; 95% CI 1.79 to 2.98). Maternal age at delivery over 35 is a major positive correlate of CS. Beyond this common phenomenon, distinct lines of socioeconomic and demographic cleavage operate in urban versus rural areas. The differences regarding correlates of CS according to the place of residence suggest that specific measures should be taken in each setting to allow women to access childbirth services appropriate to their needs. Further research is needed on this topic.

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