World Journal of Pediatrics

, Volume 13, Issue 3, pp 274–277 | Cite as

Clinical experience in the treatment of children who swallowed multiple magnetic foreign bodies: A report of five cases

  • Yue-Bin Zhang
  • Zhi-Gang Gao
  • Qi-Xing Xiong
  • Li-Feng Zhang
  • Dou-Te Cai
  • Jia-Bin Cai
Brief Report
  • 69 Downloads

Abstract

Background

Several clinical reports have been published on complications resulting from swallowing multiple magnetic foreign bodies. This study aimed to summarize the clinical experience of managing children who swallowed multiple magnetic foreign bodies.

Methods

We reviewed the clinical records of five children who swallowed multiple magnetic foreign bodies and were admitted to our hospital during June 2012 to June 2014. Details of the patients’ presentation, imaging studies, complications and treatment were recorded.

Results

All five children suffered from gastrointestinal perforation and intestinal obstruction. The magnetic foreign bodies caused local bowel wall tissue ischemia necrosis and perforation as well as other complications associated with fistula formation. The magnets were finally removed by laparotomy surgery.

Conclusion

If magnetic foreign bodies cannot be removed by endoscopy, an operation is suggested as soon as possible to avoid serious complications.

Keywords

children gastrointestinal perforation intestinal obstruction magnetic foreign bodies 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Black RE, Johnson DG, Matlak ME. Bronchoscopic removal of aspirated foreign bodies in children. J Pediatr Surg 1994;29:682–684.CrossRefPubMedGoogle Scholar
  2. 2.
    Cox S, Brown R, Millar A, Numanoglu A, Alexander A, Theron A. The risks of gastrointestinal injury due to ingested magnetic beads. S Afr Med J 2014;104:277–278.CrossRefPubMedGoogle Scholar
  3. 3.
    Anselmi EH, San Román CG, Fontoba JEB, González LA, Dieguez EV, González JL, et al. Intestinal perforation caused by magnetic toys. J Pediatr Surg 2007;42:e13–e16.CrossRefGoogle Scholar
  4. 4.
    Brown JC, Otjen JP, Drugas GT. Pediatric magnet ingestions: the dark side of the force. Am J Surg 2014;207:754–759; discussion 759.CrossRefPubMedGoogle Scholar
  5. 5.
    Kim Y, Hong J, Moon SB. Ingestion of multiple magnets: the count does matter. J Pediatr Surg Case Rep 2014;2:130–132.CrossRefGoogle Scholar
  6. 6.
    Mandhan P, Alsalihi M, Mammoo S, Ali MJ. Troubling toys: rare-Earth magnet ingestion in children causing bowel perforations. Case Rep Pediatr 2014;2014:908730.PubMedPubMedCentralGoogle Scholar
  7. 7.
    Silverman JA, Brown JC, Willis MM, Ebel BE. Increase in pediatric magnet-related foreign bodies requiring emergency care. Ann Emerg Med 2013;62:604–608.CrossRefPubMedGoogle Scholar
  8. 8.
    Tsai J, Shaul DB, Sydorak RM, Lau ST, Akmal Y, Rodriguez K. Ingestion of magnetic toys: report of serious complications requiring surgical intervention and a proposed management algorithm. Permanente J 2013;17:11–14.CrossRefGoogle Scholar
  9. 9.
    Naji H, Isacson D, Svensson JF, Wester T. Bowel injuries caused by ingestion of multiple magnets in children: a growing hazard. Pediatr Surg Int 2012;28:367–374.CrossRefPubMedGoogle Scholar
  10. 10.
    Robinson AJ, Bingham J, Thompson RL. Magnet induced perforated appendicitis and ileo-caecal fistula formation. Ulster Med J 2009;78:4.PubMedPubMedCentralGoogle Scholar
  11. 11.
    Nui A, Hirama T, Katsuramaki T, Maeda T, Meguro M, Nagayama M, et al. An intestinal volvulus caused by multiple magnet ingestion: an unexpected risk in children. J Pediatr Surg 2005;40:e9–e11.CrossRefPubMedGoogle Scholar
  12. 12.
    Pryor HI, Lange PA, Bader A, Gilbert J, Newman K. Multiple magnetic foreign body ingestion: a surgical problem. J Am Coll Surg 2007;205:182–186.CrossRefPubMedGoogle Scholar
  13. 13.
    İlçe Z, Samsum H, Mammadov E, Celayir S. Intestinal volvulus and perforation caused by multiple magnet ingestion: report of a case. Surg Today 2007;37:50–52.PubMedGoogle Scholar

Copyright information

© Children's Hospital, Zhejiang University School of Medicine and Springer-Verlag Berlin Heidelberg 2017

Authors and Affiliations

  • Yue-Bin Zhang
    • 1
  • Zhi-Gang Gao
    • 1
  • Qi-Xing Xiong
    • 1
  • Li-Feng Zhang
    • 1
  • Dou-Te Cai
    • 1
  • Jia-Bin Cai
    • 1
  1. 1.Department of General SurgeryChildren’s Hospital Zhejiang University School of MedicineHangzhouChina

Personalised recommendations