Ingestion of Magnetic Foreign Bodies: Two Clinical Cases, Two Approaches

Detalhes bibliográficos
Autor(a) principal: Santos, Liliana Pimenta
Data de Publicação: 2019
Outros Autores: Coimbra, Diana Monteiro, Piedade, Cláudia, Cunha, Maria Catarina, Lopes, Maria Francelina
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Texto Completo: https://doi.org/10.25754/pjp.2019.14743
Resumo: 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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spelling 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
instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
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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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