Bowel perforations induced by multiple magnet ingestion

Emerg Med Australas. 2010 Apr;22(2):189-91. doi: 10.1111/j.1742-6723.2010.01276.x.

Abstract

We report two cases of bowel perforation that presented to the ED after ingesting multiple magnets as diagnosed with exploratory laparotomy. Foreign body ingestion is a common occurrence in the paediatric population. Diagnosis is often delayed because it is difficult to obtain a precise history of foreign body ingestion. Fortunately, in many cases, ingested foreign bodies pass spontaneously without complications. However, surgical intervention is required for about one percent of foreign body ingestions. Multiple magnet ingestion produces bowel injuries, including bowel obstruction, ischaemia, necrosis, perforation and fistula formation, finally requiring surgical intervention. The incidence, which is rare, of magnet ingestion with complications has increased as a result of the popularity of magnetic toys. This case report highlights the complications that might occur with multiple magnet ingestion. We aim to alert physicians that multiple magnet ingestion can be a serious matter.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Eating
  • Emergency Service, Hospital
  • Female
  • Foreign Bodies / complications
  • Foreign Bodies / diagnostic imaging*
  • Foreign Bodies / surgery
  • Humans
  • Infant
  • Intestinal Perforation / diagnostic imaging*
  • Intestinal Perforation / etiology
  • Intestinal Perforation / surgery
  • Laparotomy
  • Magnetics*
  • Male
  • Play and Playthings / injuries*
  • Radiography