scholarly journals Accidental Magnet Ingestion in A Toddler: A Diagnostic Dilemma

2021 ◽  
Vol 27 (1) ◽  
pp. 37-41
Author(s):  
Benjamin Wei Liang Ng ◽  
Wei Keong Ooi ◽  
Prahalad Ramanathan ◽  
Teck Hock Toh
Keyword(s):  
Foreign Body ◽  
Intestinal Obstruction ◽  
Early Recognition ◽  
Bowel Perforation ◽  
Wound Dehiscence ◽  
Foreign Body Ingestion ◽  
Surgical Removal ◽  
Gastrointestinal Complication ◽  
Diagnostic Dilemma ◽  
Magnet Ingestion

Foreign body ingestion is common in children. Ingestion of foreign bodies with magnetic properties are less common, but can be associated with more severe complication, especially involving multiple magnets. We present a 16-month-old boy with developmental delay who developed small bowel perforation following multiple magnet ingestion.  He had three days history of vomiting and abdominal distension associated with pain, suggestive of an acute intestinal obstruction. Abdominal imaging confirmed foreign body ingestion, and an exploratory laparotomy revealed two magnets attracted across the intestinal lining with resultant intestinal obstruction and perforation. Surgical removal of the magnets and the necrotic bowel tissue was complicated by post-operative wound dehiscence. After secondary suturing, the child subsequently made a complete recovery. We discuss the diagnostic dilemma in multiple magnet ingestion along with the importance of early recognition and prompt management due to the risk of more severe gastrointestinal complication associated with delayed intervention.

scholarly journals HAZARDS OF MULTIPLE MAGNET INGESTION IN CHILDREN;

2013 ◽  
Vol 20 (04) ◽  
pp. 634-637
Author(s):  
MUHAMMAD ALI SHEIKH ◽  
TARIQ LATIF ◽  
MASOOM ALI SHAH ◽  
Jamil AKHTAR ◽  
Abdul Qayuum
Keyword(s):  
Foreign Body ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Clinical Features ◽  
Exploratory Laparotomy ◽  
Paediatric Population ◽  
Foreign Body Ingestion ◽  
Magnet Ingestion ◽  
Pass Through ◽  
Subacute Intestinal Obstruction

Foreign body ingestion is relatively common in the paediatric population and most object pass through the gastrointestinaltract spontaneously. With the popularity of small magnetic toys, there have been numerous reports of magnet ingestion with morbidityand even mortality. We report a case of 3-years old boy who presented with clinical features of subacute intestinal obstruction with nohistory of foreign body ingestion. On exploratory laparotomy, he was found to have multiple small bowel perforations due to two smallmagnets. Magnets were removed and perforations repaired. The aim of this report is to awarepaediatricians of the importance of earlysurgical referral in case of magnet ingestion, to prevent severe complications.

scholarly journals Small bowel perforation secondary to foreign body ingestion mimicking acute appendicitis

Medicine ◽  
2019 ◽  
Vol 98 (30) ◽  
pp. e16489 ◽  
Author(s):  
Tantan Ma ◽  
Wentao Zheng ◽  
Beiying An ◽  
Yan Xia ◽  
Geng Chen
Keyword(s):  
Foreign Body ◽  
Small Bowel ◽  
Acute Appendicitis ◽  
Bowel Perforation ◽  
Foreign Body Ingestion ◽  
Small Bowel Perforation

scholarly journals Accidental multiple magnet ingestion by an adult: a case report

2020 ◽  
Vol 7 (6) ◽  
pp. 2050
Author(s):  
Suraj Gopal ◽  
Dubey Indu Bhushan ◽  
Junaid Ahmad Sofi
Keyword(s):  
Foreign Body ◽  
Surgical Intervention ◽  
The Other ◽  
Foreign Body Ingestion ◽  
Pressure Necrosis ◽  
History Of ◽  
Magnet Ingestion ◽  
Magnetic Foreign Body ◽  
Asymptomatic Individuals ◽  
Early Surgical Intervention

Accidental multiple magnetic foreign body ingestion although common in children is rare in adults. Multiple magnetic foreign body ingestion possess a definitive risk of causing intestinal perforation, volvulus or fistulas and requires early surgical intervention even in apparently asymptomatic individuals to prevent catastrophic complications. We report a case of an 18 year old male with a history of accidental simultaneous ingestion of two semi-circular shaped magnets along with a nail. The peculiarity of the case being that despite the magnets being simultaneously ingested, one was in the stomach and the other in the jejunum adhered to each other through the transverse colon mesentery causing pressure necrosis of the adjoining wall with the patient being asymptomatic.

scholarly journals Facts and fantasies about superior mesenteric artery syndrome: an unusual cause of intestinal obstruction

2019 ◽  
Vol 6 (7) ◽  
pp. 2591
Author(s):  
Swapnil Singh Kushwaha ◽  
Shikha Goja
Keyword(s):  
Intestinal Obstruction ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Early Recognition ◽  
Recurrent Abdominal Pain ◽  
Favourable Outcome ◽  
Vascular Compression ◽  
Fatty Tissue ◽  
Diagnostic Dilemma ◽  
Sma Syndrome

Superior mesenteric artery (SMA) syndrome (also known as Wilkie’s syndrome) is an unusual cause of proximal intestinal obstruction, attributable to vascular compression of the third part of duodenum between the superior mesenteric artery and the abdominal aorta due to acute angulation of SMA. It is a life threatening disease as it poses a diagnostic dilemma and often diagnosed by exclusion of other causes. It is an acquired disorder and is commonly due to loss of fatty tissue as a result of a variety of debilitating conditions. We report a case of SMA syndrome in a 23 year young asthenic female patient, with a long history of recurrent abdominal pain, epigastric fullness, voluminous vomiting, and weight loss. Symptoms persisted for 1 year and the patient underwent extensive investigations, but to no avail. Thereafter she developed proximal intestinal obstruction, which unravelled her diagnosis. Abdominal examination revealed epigastric fullness, tenderness and hyper peristaltic bowel sounds. We performed small bowel enteroclysis, upper gastrointestinal series, abdominal computer-tomography (CT) and ultrasonography to establish the diagnosis. Conservative treatment was tried for one month but failed. There was no relief of symptoms in the left lateral decubitus or prone position. Finally, the patient successfully underwent Roux-en-Y duodenojejunal anastomosis with a postoperative favourable outcome. This case emphasizes the challenges in the diagnosis of SMA syndrome and the need for increased awareness of this entity. This will improve early recognition in order to reduce irrelevant tests and unnecessary treatments.

scholarly journals INTESTINAL OBSTRUCTION IN PAEDIATRIC AGE GROUP DUE TO FOREIGN BODY INGESTION

2018 ◽  
Vol 7 (04) ◽  
pp. 548-549
Author(s):  
Pankaj Kumar Saunakiya ◽  
Satendra Rajput ◽  
Santosh Kumar Saroj ◽  
Santvir Singh ◽  
Rajkumar Verma
Keyword(s):  
Foreign Body ◽  
Intestinal Obstruction ◽  
Foreign Body Ingestion ◽  
Age Group ◽  
Paediatric Age

scholarly journals A Rare Case of Foreign Body Ingestion, Mimicking as Mesenteric Cyst. "Case Report"

2020 ◽  
Vol 1 (1) ◽  
pp. 56-59
Author(s):  
Saleem Ullah Khan ◽  
Muhammad Kamran ◽  
Asim Ur Rehman ◽  
Muhammad Ramzan ◽  
Imran Hashim ◽  
...  
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Pediatric Population ◽  
Signs And Symptoms ◽  
Foreign Body Ingestion ◽  
Mesenteric Cyst ◽  
Radiological Investigation ◽  
Diagnostic Dilemma ◽  
Operative Recovery

Background: Foreign body ingestion by children is a commonly encountered problem and accounts for a significant emergency visits among pediatric population. Although these ingested foreign bodies pass spontaneously and uneventfully, a subset of such bodies may become trapped in the digestive tract, eventually leading to significant injury. Most of these bodies are radio-opaque and detectable radiologically, but some radio-lucent may become a diagnostic dilemma and subtle management issue. Case Report: We report a case of a one-year girl who presented after accidental ingestion of foreign body with signs and symptoms of acute intestinal obstruction. Initially we were unable to diagnose the cause, but later the radiological investigation suspected a mesenteric cyst. After failure to respond to conservative measures she underwent exploratory laparotomy, and a jelly ball was removed from the gut. The patient had uneventful post-operative recovery and was kept on follow-up for three months without any complication. Conclusion: These patients do not respond to conservative measures and need surgery on an emergency basis. It is likely that if left untreated may have caused Intestinal perforation and irreversible shock. Radiolucent foreign bodies are difficult to diagnose and need high level of suspicion. Need of the hour is to educate the parents to be extra vigilant as “prevention is better than cure”.

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.

Re: Small bowel perforation from foreign body ingestion

2020 ◽  
Vol 90 (5) ◽  
pp. 938-938
Author(s):  
Vipul D. Yagnik ◽  
Bhargav Yagnik
Keyword(s):  
Foreign Body ◽  
Small Bowel ◽  
Bowel Perforation ◽  
Foreign Body Ingestion ◽  
Small Bowel Perforation

scholarly journals A Case of 2-Year-Old Child with Entero-Enteric Fistula Following Ingestion of 25 Magnets

2016 ◽  
Vol 59 (4) ◽  
pp. 140-142
Author(s):  
Zenon Pogorelić ◽  
Matija Borić ◽  
Joško Markić ◽  
Miro Jukić ◽  
Leo Grandić
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Intestinal Obstruction ◽  
Fistula Formation ◽  
Intestinal Loop ◽  
Intestinal Segment ◽  
Enteric Fistula ◽  
Magnet Ingestion ◽  
Magnetic Foreign Body ◽  
Resected Intestine

Introduction: Magnet ingestion usually does not cause serious complications, but in case of multiple magnet ingestion or ingestion of magnet with other metal it could cause intestinal obstruction, fistula formation or even perforation. Case report: We report case of intestinal obstruction and fistula formation following ingestion of 25 magnets in a 2-year-old girl. Intraoperatively omega shaped intestinal loop with fistula caused by two magnetic balls was found. Intestine trapped with magnetic balls was edematous and inflamed. Resection of intestinal segment was performed, followed by entero-enteric anastomosis. A total of 25 magnets were removed from resected intestine. Conclusion: Single magnet ingestion is treated as non-magnetic foreign body. Multiple magnet ingestion should be closely monitored and surgical approach could be the best option to prevent or to cure its complications.

scholarly journals Acute mechanical intestinal obstruction due to foreign body ingestion

2020 ◽  
Vol 10 (4) ◽  
pp. 121-123
Author(s):  
Emin Uysal ◽  
Hakan Çelik ◽  
Şakir Ömür Hıncal ◽  
Kenan Ahmet Türkdoğan
Keyword(s):  
Foreign Body ◽  
Intestinal Obstruction ◽  
Foreign Body Ingestion ◽  
Mechanical Intestinal Obstruction
Sign in / Sign up

Export Citation Format

Share Document