Abstract
Foreign body ingestion is one of the common home accidents. Multiple magnet ingestion can cause serious complications like intestinal obstruction, perforation and sepsis differently from the other foreign body ingestions because of their attraction capacity to each other. Three children with age of two, four and thirteen were admitted to emergency department with multiple magnet ingestion history, without any other symptom or complaints. In their abdominal X-rays, multiple magnets were
observed in esophagus and stomach. Upper gastrointestinal endoscopy was performed and because of the attraction of the magnets which were settled different regions and created tissue damage, the magnets were removed by laparotomy and perforated areas were repaired. Patients’ follow up periods for twenty months were uneventful. A quick radiological and clinical evaluation must be done to determine the need of surgical attempt for the children who admitted to emergency department with the history of magnet ingestion. Producers should put warning labels on toys containing magnets which shows growing production rates nowadays and should pack them in sheltered boxes. Giving appropriate education to parents is one of the preventions to avoid
possible dangers.
Keywords
References
- 1. Arana A, Hauser B, Hachimi- Idrissi S, Vandenplas Y. Management of ingested foreign bodies in childhood and review of the literature. Eur J Pediatr 2001;160:468- 472.
- 2. Robinson AJ, Bingham J, Thompson LR. Magnet induced perforate dapendicitis and ileo-caecal fistula. Ulster Med J 2009;78:4-6.
- 3. Kabre R, Chin A, Rowell E, et al. Hazardous complications of multiple ingested magnets: report of four cases. Eur J Pediatr Surg 2009;19:187-190.
- 4. Liu S,Li J, Lv Y. Gastrointestinal damage caused by swallowing multiple magnets. Front. Med. 2012;6:280-287.
- 5. Dutta S, Barzin A. Multiple magnet ingestion as a source of severe gastrointestinal complications requiring surgical intervention. Arch Pediatr Adolesc Med 2008;162:123-125.
- 6. Nagaraj HS, Sunil I. Multiple foreign body ingestion and ileal perforation, Pediatr Surg Int. 2005;21:718-720.
- 7. Chung JH, Kim JS, Song YT. Small bowel complication caused by magnetic foreign body ingestion of children: two case reports. J Pediatr Surg 2003;38:1548-1550.
- 8. Liu S, de Blacam C, Lim FY, Mattei P, Mamula P. Magnetic foreign body ingestions leading to duodenocolonic fistula. J Pediatr Gastroenterol Nutr 2005;41:670-672.
- 9. Tay ET, Weinberg G, Levin TL. Ingested magnets: the force within. Pediatr Emerg Care 2004;20:466-467.
- 10. Uchida K, Otake K, Iwata T, et al.Ingestion of multiple magnets: hazardous foreign bodies for children. Pediatr Radiol 2006;36:263-264.
- 11. Anselmi EH, San Roman CG, Fontoba J, et al.Intestinal perforation caused by magnetic
Abstract
Yabancı cisim yutulması çocukluk çağında sık rastlanan ev kazalarındandır. Çoklu mıknatıs yutulması diğer yabancı cisim yutmalarından farklı olarak mıknatısların çekim gücü nedeni ile barsak tıkanıklıklarına, perforasyonlarına ve sepsise varan ciddi komplikasyonlara yol açabilir. Herhangi bir başka bulgu ve başvuru yakınması olmadan çoklu mıknatıs yutulması öyküsü ile acil servise gelen iki, dört ve on üç yaşlarındaki üç çocuğun çekilen ayakta direkt karın grafisinde özofagus ve midede çoklu mıknatıslar izlendi. Üst gastrointestinal sistem endoskopisinde mıknatısların özofagus veya mideye yerleşip birbirlerini çekmeleri ve doku hasarı oluşturmalarının gözlenmesi nedeni ile laparotomi yardımlı çıkarıldı ve perforasyon alanları onarıldı. Ortalama 20 aylık takipte herhangi bir problem izlenmedi. Mıknatıs yutulması nedeni ile gelen çocukların radyolojik ve klinik değerlendirmeleri hızla yapılmalı ve erken girişim gereksinimi belirlenmelidir. Günümüzde yaygınlaşan mıknatıs içeren oyuncakların üzerine gereken uyarıların üreticiler tarafından konulması
ve korunaklı yerleştirilmesi, ailelere uygun eğitimin verilmesi olası tehlikenin engellenebilmesi için alınması gereken önlemlerdir.
Keywords
References
- 1. Arana A, Hauser B, Hachimi- Idrissi S, Vandenplas Y. Management of ingested foreign bodies in childhood and review of the literature. Eur J Pediatr 2001;160:468- 472.
- 2. Robinson AJ, Bingham J, Thompson LR. Magnet induced perforate dapendicitis and ileo-caecal fistula. Ulster Med J 2009;78:4-6.
- 3. Kabre R, Chin A, Rowell E, et al. Hazardous complications of multiple ingested magnets: report of four cases. Eur J Pediatr Surg 2009;19:187-190.
- 4. Liu S,Li J, Lv Y. Gastrointestinal damage caused by swallowing multiple magnets. Front. Med. 2012;6:280-287.
- 5. Dutta S, Barzin A. Multiple magnet ingestion as a source of severe gastrointestinal complications requiring surgical intervention. Arch Pediatr Adolesc Med 2008;162:123-125.
- 6. Nagaraj HS, Sunil I. Multiple foreign body ingestion and ileal perforation, Pediatr Surg Int. 2005;21:718-720.
- 7. Chung JH, Kim JS, Song YT. Small bowel complication caused by magnetic foreign body ingestion of children: two case reports. J Pediatr Surg 2003;38:1548-1550.
- 8. Liu S, de Blacam C, Lim FY, Mattei P, Mamula P. Magnetic foreign body ingestions leading to duodenocolonic fistula. J Pediatr Gastroenterol Nutr 2005;41:670-672.
- 9. Tay ET, Weinberg G, Levin TL. Ingested magnets: the force within. Pediatr Emerg Care 2004;20:466-467.
- 10. Uchida K, Otake K, Iwata T, et al.Ingestion of multiple magnets: hazardous foreign bodies for children. Pediatr Radiol 2006;36:263-264.
- 11. Anselmi EH, San Roman CG, Fontoba J, et al.Intestinal perforation caused by magnetic
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case report |
| Authors | |
| Publication Date | March 1, 2017 |
| Published in Issue | Year 2016 Volume: 1 Issue: 2 |
