Pediatric Radiology

, Volume 37, Issue 9, pp 933–936 | Cite as

Ingestion of magnetic foreign bodies causing multiple bowel perforations

  • Moritz F. Kircher
  • Sarah Milla
  • Michael J. Callahan
Case Report
First Online:
Received:
Revised:
Accepted:

Abstract

We report a 3-year-old boy who presented to the emergency room with the suspicion of having swallowed an unknown number of industrial metallic objects, subsequently shown to be magnets. During the hospital course, the boy developed multiple bowel perforations caused by the swallowed magnets that were attracted across the bowel walls. The patient management was delayed as the radiographic appearance of the foreign object did not immediately reveal that multiple magnets were stuck to one another. By this report we aim to alert the radiological and pediatric community to the possible presentation of multiple magnet ingestion. If multiple magnets or a combination of magnets and metallic objects are suspected, immediate radiographic evaluation is warranted for confirmation, and urgent surgical exploration may be necessary to prevent bowel perforation and/or intraabdominal abscess formation.

Keywords

Magnets Foreign body ingestion Emergency Child 
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References

  1. 1.
    Chen MK, Beierle EA (2001) Gastrointestinal foreign bodies. Pediatr Ann 30:736–742PubMedGoogle Scholar
  2. 2.
    Dahshan A (2001) Management of ingested foreign bodies in children. J Okla State Med Assoc 94:183–186PubMedGoogle Scholar
  3. 3.
    Oestreich AE (2004) Multiple magnet ingestion alert. Radiology 233:615PubMedCrossRefGoogle Scholar
  4. 4.
    Centers for Disease Control and Prevention (CDC) (2006) Gastrointestinal injuries from magnet ingestion in children – United States, 2003–2006. MMWR Morb Mortal Wkly Rep 55:1296–1300Google Scholar
  5. 5.
    Erdmann D, Sweis R, Heitmann C et al (2004) Side-to-side sutureless vascular anastomosis with magnets. J Vasc Surg 40:505–511PubMedCrossRefGoogle Scholar
  6. 6.
    Okajima H, Kotera A, Takeichi T et al (2005) Magnet compression anastomosis for bile duct stenosis after duct-to-duct biliary reconstruction in living donor liver transplantation. Liver Transpl 11:473–475PubMedCrossRefGoogle Scholar
  7. 7.
    Nui A, Hirama T, Katsuramaki T et al (2005) An intestinal volvulus caused by multiple magnet ingestion: an unexpected risk in children. J Pediatr Surg 40:e9–e11PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Moritz F. Kircher
    • 1
  • Sarah Milla
    • 2
  • Michael J. Callahan
    • 2
  1. 1.Department of Radiology, Beth Israel Deaconess Medical CenterHarvard Medical SchoolBostonUSA
  2. 2.Department of Radiology, Children’s Hospital BostonHarvard Medical SchoolBostonUSA

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