Multiple magnet ingestion as a source of severe gastrointestinal complications requiring surgical intervention.
OBJECTIVE
To raise awareness of the dangers associated with magnet ingestion in children.


METHODS
Case report and review of the literature.


METHODS
Tertiary care children's hospital. Patient Four-year-old boy with minimal physical findings but with a clinical history and imaging suggesting complications from multiple magnet ingestion. Intervention Laparoscopic removal of magnets and repair of magnet-induced enterotomies. Outcome Measure Clinical course.


RESULTS
Full recovery after surgical intervention.


CONCLUSIONS
Ingestion of multiple magnets can cause minimal initial physical examination findings but result in significant complications, including bowel perforation, volvulus, ischemia, and death. Early surgical intervention can prevent significant morbidity and mortality. Clinical vigilance should be exercised in these cases and early surgical consultation with an aggressive surgical approach is recommended. Parents should be warned against the dangers of children's toys that contain these powerful magnets.
Dutta
Sanjeev
S
FRCSC, Division of Pediatric Surgery, Lucile Packard Children's Hospital, 780 Welch Rd, Ste 206, Stanford, CA 94305-5733, USA. sdutta1@stanford.edu
Barzin
Ario
A
D002675:Child, Preschool; D005547:Foreign Bodies / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology* / Q000601:surgery; D010535:Laparoscopy; D008280:Magnetics / Q000009:adverse effects* / Q000295:instrumentation; D008297:Male; D009336:Necrosis; D010988:Play and Playthings; D011859:Radiography