Ingestion of Magnetic Foreign Bodies: Two Clinical Cases, Two Approaches
Main Author: | |
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Publication Date: | 2019 |
Other Authors: | , , , |
Format: | Article |
Language: | eng |
Source: | Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) |
Download full: | https://doi.org/10.25754/pjp.2019.14743 |
Summary: | Although rare, the ingestion of magnetic foreign bodies has been increasing due to greater accessibility to toys with embedded magnets. We present two cases of pediatric ingestion of foreign bodies. Case 1 refers to a 16-month-old child with an intestinal obstruction. After an initial assessment and abdominal X-ray that revealed the presence of foreign bodies, the patient underwent surgery. A jejuno-jejunal fistula was identified containing magnets. Case 2 is about a 6-year-old child who swallowed two magnetic foreign bodies, as observed by her mother. The reassuring clinical state of the patient allowed us to maintain conservative treatment. On the eighth day, the foreign bodies were eliminated without complications. Despite the controversy regarding the best treatment after the ingestion of magnetic foreign bodies, the follow-up should be careful and according to the clinical situation, as complications can occur, and urgent surgery may be required. |
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Ingestion of Magnetic Foreign Bodies: Two Clinical Cases, Two ApproachesIngestão de corpos estranhos magnéticos: dois casos, duas abordagensCase reportsAlthough rare, the ingestion of magnetic foreign bodies has been increasing due to greater accessibility to toys with embedded magnets. We present two cases of pediatric ingestion of foreign bodies. Case 1 refers to a 16-month-old child with an intestinal obstruction. After an initial assessment and abdominal X-ray that revealed the presence of foreign bodies, the patient underwent surgery. A jejuno-jejunal fistula was identified containing magnets. Case 2 is about a 6-year-old child who swallowed two magnetic foreign bodies, as observed by her mother. The reassuring clinical state of the patient allowed us to maintain conservative treatment. On the eighth day, the foreign bodies were eliminated without complications. Despite the controversy regarding the best treatment after the ingestion of magnetic foreign bodies, the follow-up should be careful and according to the clinical situation, as complications can occur, and urgent surgery may be required.Embora rara, a ingestão de corpos estranhos magnéticos tem aumentado devido à maior acessibilidade a brinquedos com ímanes incorporados. Quando ocorre ingestão deste tipo de corpos estranhos a orientação deve ser cuidadosa face às possíveis complicações e eventual necessidade de intervenção cirúrgica urgente. Apresentamos dois casos clínicos de ingestão de corpos estranhos magnéticos em idade pediátrica. O caso 1 refere-se a lactente de 16 meses transferido para o nosso hospital por quadro de oclusão intestinal. Após avaliação inicial e realização de radiografia simples do abdómen que revelou corpo estranho intra-intestinal, foi submetido a intervenção cirúrgica. Identificou-se fístula jejunojejunal, com corpos estranhos magnéticos. Foi realizada remoção dos corpos estranhos e enterorrafia. Teve alta sem intercorrências. O segundo caso trata de uma criança de 6 anos referenciada ao nosso hospital ao 7º dia após ingestão de 2 corpos estranhos magnéticos. Até essa data manteve-se assintomática sob tratamento conservador no hospital da área de residência. Por estado clínico tranquilizador manteve-se o tratamento associando-se enema de limpeza. Eliminou os corpos estranhos no dia seguinte sem qualquer intercorrência.Sociedade Portuguesa de Pediatria2019-11-12info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25754/pjp.2019.14743eng2184-44532184-3333Santos, Liliana PimentaCoimbra, Diana MonteiroPiedade, CláudiaCunha, Maria CatarinaLopes, Maria Francelinainfo:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2024-05-06T15:12:12Zoai:ojs.revistas.rcaap.pt:article/14743Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T14:38:36.116890Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse |
dc.title.none.fl_str_mv |
Ingestion of Magnetic Foreign Bodies: Two Clinical Cases, Two Approaches Ingestão de corpos estranhos magnéticos: dois casos, duas abordagens |
title |
Ingestion of Magnetic Foreign Bodies: Two Clinical Cases, Two Approaches |
spellingShingle |
Ingestion of Magnetic Foreign Bodies: Two Clinical Cases, Two Approaches Santos, Liliana Pimenta Case reports |
title_short |
Ingestion of Magnetic Foreign Bodies: Two Clinical Cases, Two Approaches |
title_full |
Ingestion of Magnetic Foreign Bodies: Two Clinical Cases, Two Approaches |
title_fullStr |
Ingestion of Magnetic Foreign Bodies: Two Clinical Cases, Two Approaches |
title_full_unstemmed |
Ingestion of Magnetic Foreign Bodies: Two Clinical Cases, Two Approaches |
title_sort |
Ingestion of Magnetic Foreign Bodies: Two Clinical Cases, Two Approaches |
author |
Santos, Liliana Pimenta |
author_facet |
Santos, Liliana Pimenta Coimbra, Diana Monteiro Piedade, Cláudia Cunha, Maria Catarina Lopes, Maria Francelina |
author_role |
author |
author2 |
Coimbra, Diana Monteiro Piedade, Cláudia Cunha, Maria Catarina Lopes, Maria Francelina |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Santos, Liliana Pimenta Coimbra, Diana Monteiro Piedade, Cláudia Cunha, Maria Catarina Lopes, Maria Francelina |
dc.subject.por.fl_str_mv |
Case reports |
topic |
Case reports |
description |
Although rare, the ingestion of magnetic foreign bodies has been increasing due to greater accessibility to toys with embedded magnets. We present two cases of pediatric ingestion of foreign bodies. Case 1 refers to a 16-month-old child with an intestinal obstruction. After an initial assessment and abdominal X-ray that revealed the presence of foreign bodies, the patient underwent surgery. A jejuno-jejunal fistula was identified containing magnets. Case 2 is about a 6-year-old child who swallowed two magnetic foreign bodies, as observed by her mother. The reassuring clinical state of the patient allowed us to maintain conservative treatment. On the eighth day, the foreign bodies were eliminated without complications. Despite the controversy regarding the best treatment after the ingestion of magnetic foreign bodies, the follow-up should be careful and according to the clinical situation, as complications can occur, and urgent surgery may be required. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-11-12 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.25754/pjp.2019.14743 |
url |
https://doi.org/10.25754/pjp.2019.14743 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2184-4453 2184-3333 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Pediatria |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Pediatria |
dc.source.none.fl_str_mv |
reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia instacron:RCAAP |
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FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) |
collection |
Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) |
repository.name.fl_str_mv |
Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia |
repository.mail.fl_str_mv |
info@rcaap.pt |
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1833594781730603008 |