Mischievous magnets: Unexpected health hazard in children

Lee, Suk-Koo; Beck, Namseon; Kim, Hyun-Hahk

doi:10.1016/s0022-3468(96)90053-6

Cited by 66 publications

(54 citation statements)

References 2 publications

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“…Even magnets in direct contact at the time of ingestion can later separate and cause complications (10). Plain radiographs can show magnets in close proximity to each other and apparently touching, when they are actually separated by bowel loops (10)(11)(12)(13). The apparent gastric location in our patient resulted in endoscopy as an appropriate initial intervention, in keeping with published algorithms (2,14).…”

Section: Discussionsupporting

confidence: 76%

“…Although there are numerous other reports of complications of multiple-battery ingestion, most involve younger patients, and we are aware of only one other case of gastric-jejunal magnets (11). McCormick et al suggested that foreign bodies lumped together in the stomach are ''highly unlikely to separate and then rejoin while traversing the intestine'' (5).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Hidden Attraction: A Menacing Meal of Magnets and Batteries

Brown

Murray

Javid

2012

The Journal of Emergency Medicine

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Hidden Attraction: A Menacing Meal of Magnets and Batteries

Brown

Murray

Javid

2012

The Journal of Emergency Medicine

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“…If clinically undetected, the pressure necrosis of the intervening tissue will eventually lead to perforation and/or enteroenteric fistula formation. This is the most common finding in patients who swallow multiple magnets with 91% (10/11) of children previously reported in the literature having developed an enteroenteric fistula, or bowel perforation [6][7][8][9][10][11][12][13][14].…”

Section: Discussionmentioning

confidence: 99%

“…In review of the previously published case reports, 100% (11/11) of children had a radio-opaque foreign object observed on abdominal imaging [6][7][8][9][10][11][12][13][14]. Additionally, 82% (9/11) also demonstrated radiographic evidence of intestinal obstruction (dilated loops of bowel and/or air-fluid levels), and 45% (5/11) had a line of multiple radio-opaque objects concerning for magnets.…”

Section: Discussionmentioning

confidence: 99%

Magnetic attraction leading to a small bowel obstruction in a child

et al. 2007

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Foreign body ingestion in small children is common yet only 1% of cases require operative management of associated complications (Arana et al. in Eur J Pediatr 160:468-472, 2001). A 6-year-old boy was referred to our institution with a 12 h history of abdominal pain. This pain was diffuse and crampy in nature and associated with multiple episodes of non-bilious, non-bloody emesis. On evaluation he was stable and his abdomen demonstrated slight distention and tenderness without peritoneal signs. Plain abdominal radiographs demonstrated some distended loops of small bowel and a radio-opaque foreign object within the mid-abdomen. A small bowel obstruction secondary to foreign body ingestion was diagnosed and an emergent laparotomy performed. Upon exploration, a transition zone was noted near the ileocecal valve. Further exploration revealed the obstruction to be caused secondary to the apposition of two small (8 mm) magnets, one in the proximal ileum and the other near the ileocecal valve, resulting in an internal hernia. The magnets were easily separated relieving the obstruction and both were removed via two small bowel enterotomies. After being presented with the magnets, his parents suspected that they came from the clothes of a Polly Pocket (Mattel, Inc., El Segundo, CA) doll. The patient had an uneventful post-operative course and was discharged to home on the second post-operative day. This case demonstrates the complications that may occur with multiple magnet ingestion. It highlights the need for close observation and early surgical intervention in children with a suspected history of foreign body ingestion, a clinical picture of gastrointestinal distress, and radiographic evidence of a radio-opaque foreign object.

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“…Fortunately, spontaneous passage of magnetic objects may occur in 80% of cases and about 10%-20% may need endoscopic retrieval, and 1% may cause complications such as obstruction, perforation, or fistula, which require surgical intervention. [3] Reports showed that ingested magnet caused intestinal fistula formation or perforation, intestinal volvulus, thus leading to intestinal obstruction. [4,5] In this report, we present a very rare case of a closed loop perforation in the pylorus and duodenum after the ingestion of multiple magnets and review the literatures about the risk of magnet ingestion in children.…”

Section: Introductionmentioning

confidence: 99%