A Case of 2-Year-Old Child with Entero-Enteric Fistula Following Ingestion of 25 Magnets

Abstract

Summary:Introduction: Magnet ingestion usually does not cause serious complications, but in case of multiple magnet ingestion or ingestion of magnet with other metal it could cause intestinal obstruction, fistula formation or even perforation. Case report: We report case of intestinal obstruction and fistula formation following ingestion of 25 magnets in a 2-year-old girl. Intraoperatively omega shaped intestinal loop with fistula caused by two magnetic balls was found. Intestine trapped with magnetic balls was edematous and inflamed. Resection of intestinal segment was performed, followed by entero-enteric anastomosis. A total of 25 magnets were removed from resected intestine. Conclusion: Single magnet ingestion is treated as non-magnetic foreign body. Multiple magnet ingestion should be closely monitored and surgical approach could be the best option to prevent or to cure its complications.

Double jejunoileal fistula after ingestion of magnets

“…Bowel necrosis, perforation, fistula formation, and obstruction have been reported. [12345] Thus, intensive promotion of prevention, even formation of algorithms on magnet removal has been attempted. [34]…”

“…The number of magnets is important as a single one is not dangerous, but more particles or the combination with another metallic object may produce complications. [125] A cluster of ingested objects that remain together for a long period should raise the suspicion that the foreign bodies are magnetized.…”

“…However, some cases require endoscopic removal, and 1% of patients undergo surgical operation. [1] There are certain types of swallowed objects that require special consideration such as batteries and magnets. When magnets are involved, accidental ingestion of a single one poses no threat for the patient, but ingestion of multiple items or a single magnet and a metallic object may compromise the health of the child.…”

“…When magnets are involved, accidental ingestion of a single one poses no threat for the patient, but ingestion of multiple items or a single magnet and a metallic object may compromise the health of the child. [12] Such a complicated case is presented here.…”

Harmful twins: the saddest small magnets force side

“…This leads to pressure ischemia and necrosis, volvulus, entero-enteric fistula and perforations. 1,2 The increase of magnet ingestions requested the revision of the current pediatric algorithm. 3 A careful physical examination should include an assessment for signs of symptoms of obstructions and perforations.…”