Ingestion of multiple magnets in children.
J Pediatr Surg
; 55(10): 2201-2205, 2020 Oct.
Article
en En
| MEDLINE
| ID: mdl-31937446
ABSTRACT
BACKGROUND:
The ingestion of multiple magnets is harmful in children because it can cause intestinal obstruction and/or perforation. We present an approach for the management of children visiting the emergency department with multiple magnet ingestion.METHODS:
We retrospectively investigated 9 children who presented to 2 centers in Korea between January 2004 and August 2018 with a history of multiple magnet ingestion. Demographics, major symptoms, management, and outcomes were analyzed.RESULTS:
Of the 9 children investigated, median age was 34â¯months with vomiting and abdominal pain as the most common initial symptoms. Six (67%) underwent surgical removal of the magnets after observing for mean 2.2â¯days. Reasons for surgical managements were no magnet migration on serial radiographs in 3, suspected obstruction or microperforation in 2 and failed endoscopic removal in 1. Three patients (33%) were asymptomatic and were treated with meticulous observation using serial plain radiographs for average 3.3â¯days. All patients discharged without adverse outcomes and complications.CONCLUSIONS:
Surgical removal is warranted in patients with symptoms suspicious of intestinal obstruction and/or perforation or without magnet migration. Asymptomatic children can be observed over at least 2-3â¯days with serial simple radiographs while awaiting magnet migration. LEVEL OF EVIDENCE IV.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Imanes
/
Cuerpos Extraños
/
Obstrucción Intestinal
/
Perforación Intestinal
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
Límite:
Child
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Child, preschool
/
Female
/
Humans
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Infant
/
Male
Idioma:
En
Revista:
J Pediatr Surg
Año:
2020
Tipo del documento:
Article