Bowel perforations induced by multiple magnet ingestion.
We report two cases of bowel perforation that presented to the ED after ingesting multiple magnets as diagnosed with exploratory laparotomy. Foreign body ingestion is a common occurrence in the paediatric population. Diagnosis is often delayed because it is difficult to obtain a precise history of foreign body ingestion. Fortunately, in many cases, ingested foreign bodies pass spontaneously without complications. However, surgical intervention is required for about one percent of foreign body ingestions. Multiple magnet ingestion produces bowel injuries, including bowel obstruction, ischaemia, necrosis, perforation and fistula formation, finally requiring surgical intervention. The incidence, which is rare, of magnet ingestion with complications has increased as a result of the popularity of magnetic toys. This case report highlights the complications that might occur with multiple magnet ingestion. We aim to alert physicians that multiple magnet ingestion can be a serious matter.
Department of Emergency Medicine, Chonnam National University Hospital, Gwangju, Korea. bbukkuk@hanmail.net
Byung Kook
BK
Lee
Hyun Ho
HH
Ryu
Jeong Mi
JM
Moon
Kyung Woon
KW
Jeung
D000293:Adolescent; D004435:Eating; D004636:Emergency Service, Hospital; D005260:Female; D005547:Foreign Bodies / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D007223:Infant; D007416:Intestinal Perforation / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D007813:Laparotomy; D008280:Magnetics; D008297:Male; D010988:Play and Playthings / Q000293:injuries*; D011859:Radiography