Introduction: Magnetic beads are hazardous, having potentially lethal consequences if ingested. Case Report: A two-year-old girl, presented to the pediatric emergency department with an history of worsening abdominal pain, nausea and vomiting. The patient appeared in moderate distress. Physical examination revealed abdominal tenderness with guarding and rigidity. On abdominal X-ray examination, nine opaque foreign bodies (magnetic beads) were seen in the left hypochondrium. Explorative gastroscopy was performed and two magnets appeared at the lessure curvature, but not the reaming seven. These were pulled out and another gastroscopic attempt showed appearance of another two of the remaining ones. Removing these, the remaining ve were all attached as seen on the X-ray. The magnets must have caused pressure necrosis on a gastric mucosa fold with subsequent limited submucosal perforation making a pouch was the spheres were logged. Conclusion: The ingestion of multiple magnets may require urgent surgical intervention and early removal because of very high risk of gastrointestinal perforation.
Unusual gastric submucosal perforation following multiple magnetic bead ingestion in an infant / G. Pelizzo, B. Krishnamurthy, V. Calcaterra, G. Nakib. - In: INTERNATIONAL JOURNAL OF CASE REPORTS AND IMAGES. - ISSN 0976-3198. - 8:7(2017), pp. 451-453. [10.5348/ijcri-201766-CR-10805]
Unusual gastric submucosal perforation following multiple magnetic bead ingestion in an infant
G. Pelizzo;
2017
Abstract
Introduction: Magnetic beads are hazardous, having potentially lethal consequences if ingested. Case Report: A two-year-old girl, presented to the pediatric emergency department with an history of worsening abdominal pain, nausea and vomiting. The patient appeared in moderate distress. Physical examination revealed abdominal tenderness with guarding and rigidity. On abdominal X-ray examination, nine opaque foreign bodies (magnetic beads) were seen in the left hypochondrium. Explorative gastroscopy was performed and two magnets appeared at the lessure curvature, but not the reaming seven. These were pulled out and another gastroscopic attempt showed appearance of another two of the remaining ones. Removing these, the remaining ve were all attached as seen on the X-ray. The magnets must have caused pressure necrosis on a gastric mucosa fold with subsequent limited submucosal perforation making a pouch was the spheres were logged. Conclusion: The ingestion of multiple magnets may require urgent surgical intervention and early removal because of very high risk of gastrointestinal perforation.File | Dimensione | Formato | |
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