Accidental Magnet Ingestion in A Toddler: A Diagnostic Dilemma
Keywords:Magnet, foreign body, accidental ingestion, bowel obstruction, children
Foreign body ingestion is common in children. Ingestion of foreign bodies with magnetic properties are less common, but can be associated with more severe complication, especially involving multiple magnets. We present a 16-month-old boy with developmental delay who developed small bowel perforation following multiple magnet ingestion. He had three days history of vomiting and abdominal distension associated with pain, suggestive of an acute intestinal obstruction. Abdominal imaging confirmed foreign body ingestion, and an exploratory laparotomy revealed two magnets attracted across the intestinal lining with resultant intestinal obstruction and perforation. Surgical removal of the magnets and the necrotic bowel tissue was complicated by post-operative wound dehiscence. After secondary suturing, the child subsequently made a complete recovery. We discuss the diagnostic dilemma in multiple magnet ingestion along with the importance of early recognition and prompt management due to the risk of more severe gastrointestinal complication associated with delayed intervention.
George AT, Motiwale S. Magnets, children and the bowel: a dangerous attraction? World J Gastroentrol 2012 October 14; 18(38):5324-8.
Lee BK, Ryu HH, Moon JM, Jeung KW. Bowel perforation induced by multiple magnet ingestion. Emerg Med Australas 2010; 22:189-91.
Hussain SZ, Bousvaros A, Gilger M, et al. Management of ingested magnets in children. J Pediatr Gastroenterol Nutr 2012; 55:239-42.
Adikibi BT, Amold M, van Niekerk G, Alexander A, Numanoglu A, Millar AJW. Magnetic bead toy ingestion: uses and disuses in children. Pediatr Surg Int 2013; 29:741-744.
Centers for Disease Control and Prevention. Gastrointestinal injuries from magnet ingestion in children-United States, 2003-2006. MMWR 2006; 55:1296-300.
Butterworth J, Feltis B. Toy magnet ingestion in children: revising the algorithm. J Pediatr Surg 2007; 42:e3-5.
Evangelos Blevrakis, Maria Raissaki, Sofia Xenaki, Elissavet Astyrakaki, Nelli Kholcheva, and Emmanuel Chrysos; Multiple magnet ingestion causing intestinal obstruction and entero-enteric fistula: Which imaging modality besides radiographs? A case report; Ann Med Surg (Lond); 2018 Jul; 31: 29–33.
How to Cite
Copyright (c) 2021 Malaysian Journal of Paediatrics and Child Health
This work is licensed under a Creative Commons Attribution 4.0 International License.