Multiple Magnet Ingestion In Pediatric Population, A Review

Akay, M.; Gül, Sedat

doi:10.5505/ktd.2020.60465

Cited by 2 publications

(6 citation statements)

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“…Akay et al, in their report examining pediatric traumas in an area with high traffic density, found male sex to be dominant [ 9 ]. This is in agreement with similar literature reports and with the present study.…”

Section: Discussionmentioning

confidence: 99%

“…Prakash et al reported RTAs and, secondarily, FFH as the major mechanisms in 911 pediatric trauma patients [ 23 ]. Akay et al found that in 124 cases, traffic accidents were the most common, followed by the mechanism of FFH [ 9 ]. In Yousefzadeh et al’s report, the most prominent mechanism was RTAs, a similar finding to those of both this study and others in the literature [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

“…A trained trauma team can reduce mortality by 25–30% when the patient arrives at the ED [ 8 ]. Although the mechanisms and types of accidents change as the anatomical structures, environments, and interests of children change in proportion to their ages, the most common causes of trauma in children are falls, in-vehicle and out-of-vehicle road traffic accidents (RTAs), bicycle accidents, drowning in water, burns, and child abuse [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

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A Retrospective Study to Compare the Glasgow Coma Score, Pediatric Trauma Score, and Injury Severity Score and Outcomes in 118 Pediatric Trauma Patients at a Single Emergency Center in Turkey

Özensoy,

Gürü

2024

Med Sci Monit

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Background The main causes of accidental trauma in children include road traffic accidents (RTAs) and falling from height (FFH). Rapid and accurate assessment of severity of injury is required to guide effective management. This retrospective study aimed to compare the Glasgow Coma Score (GCS), Pediatric Trauma Score (PTS), and Injury Severity Score (ISS) and outcomes for 118 pediatric trauma patients at a single Emergency Department (ED) in Turkey. Material/Methods Patients admitted to Ankara City Hospital due to high-energy trauma between November 1, 2019 and April 30, 2020 were analyzed retrospectively. Data for 118 patients with trauma by major mechanisms, aged 0–17, were collected. Demographic characteristics, trauma-related characteristics, outcomes, and GCS, PTS, and ISS values were compared. It was examined whether there was a relationship between trauma severity and prognosis. In this context, trauma severity was defined by these scores. Results Of the 118 admitted patients, 66 (55.9%) were discharged from the ED, 33 (28%) were transferred to the intensive care unit (ICU), and 19 (16.1%) were admitted to non-ICU departments in the hospital. With hospitalization, patients with thoracic trauma ( P <0.001; OR 11.1; 95% CI 3.0–40) and patients with abdominal trauma ( P =0.003; OR 4.0; 95% CI 1.5–10.8) were discharged significantly less frequently than patients with other types of trauma. Patients with low ISS ( P <0.001) and high PTS ( P <0.001) were discharged more often. The relationship between diagnosis and hospitalization was significant ( P <0.001). Conclusions RTA and FFH are the leading trauma mechanisms in children. Boys experience more trauma. ISS and PTS provide accurate predictions of severe and poor prognosis in pediatric trauma cases.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A Retrospective Study to Compare the Glasgow Coma Score, Pediatric Trauma Score, and Injury Severity Score and Outcomes in 118 Pediatric Trauma Patients at a Single Emergency Center in Turkey

Özensoy,

Gürü

2024

Med Sci Monit

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“…For cases with a history of magnet ingestion, the initial radiological assessment typically includes an anterior and lateral standing direct abdominal radiograph. [ 62 ] A fistula should be suspected if multiple magnets persist on serial radiographs or are detected in atypical locations. [ 14 ] Depending on the suspected location of the fistula, employing oral or rectal contrast can help ascertain its presence and extent.…”

Section: Discussionmentioning

confidence: 99%

“…However, if a magnet is detected in the abdomen, the use of MRI should be avoided due to the risk of complications related to the magnet. [ 62 ] Endoscopy is also instrumental in identifying fistulas. In our literature review, a fistula diagnosis was confirmed during endoscopy or laparotomy in all 55 cases.…”

Section: Discussionmentioning

confidence: 99%

Chronic jejuno-colonic fistula and intestinal malabsorption due to multiple magnet ingestions: A case report and systematic review

Özcan

2024

Ulus Travma Acil Cerrahi Derg

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Magnet ingestion in children can lead to serious complications, both acutely and chronically. This case report discusses the treatment approach for a case involving multiple magnet ingestions, which resulted in a jejuno-colonic fistula, segmental intestinal volvulus, hepatosteatosis, and renal calculus detected at a late stage. Additionally, we conducted a literature review to explore the characteristics of intestinal fistulas caused by magnet ingestion. A six-year-old girl was admitted to the Pediatric Gastroenterology Department presenting with intermittent abdominal pain, vomiting, and diarrhea persisting for two years. Initial differential diagnoses included celiac disease, cystic fibrosis, inflammatory bowel disease, and tuberculosis, yet the etiology remained elusive. The Pediatric Surgery team was consulted after a jejuno-colonic fistula was suspected based on magnetic resonance imaging findings. The physical examination revealed no signs of acute abdomen but showed mild abdominal distension. Subsequent upper gastrointestinal series and contrast enema graphy confirmed a jejuno-colonic fistula and segmental volvulus. The family later reported that the child had swallowed a magnet two years prior, and medical follow-up had stopped after the spontaneous expulsion of the magnets within one to two weeks. Surgical intervention was necessary to correct the volvulus and repair the large jejuno-colonic fistula. To identify relevant studies, we conducted a detailed literature search on magnet ingestion and gastrointestinal fistulas according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. We identified 44 articles encompassing 55 cases where symptoms did not manifest in the acute phase and acute abdomen was not observed. In 29 cases, the time of magnet ingestion was unknown. Among the 26 cases with a known ingestion time, the average duration until fistula detection was 22.8 days (range: 1-90 days). Fistula repairs were performed via laparotomy in 47 cases.

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Multiple Magnet Ingestion In Pediatric Population, A Review

Cited by 2 publications

References 0 publications

A Retrospective Study to Compare the Glasgow Coma Score, Pediatric Trauma Score, and Injury Severity Score and Outcomes in 118 Pediatric Trauma Patients at a Single Emergency Center in Turkey

A Retrospective Study to Compare the Glasgow Coma Score, Pediatric Trauma Score, and Injury Severity Score and Outcomes in 118 Pediatric Trauma Patients at a Single Emergency Center in Turkey

Chronic jejuno-colonic fistula and intestinal malabsorption due to multiple magnet ingestions: A case report and systematic review

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