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磁性玩具误食致儿童空肠回肠瘘

Magnetic toy ingestion leading to jejunocecal fistula in a child.

作者信息

Ahmed Ali M, Hassab Mohamed H, Al-Hussaini Abdulrahman A, Al-Tokhais Tariq I

机构信息

Department of Pediatric Surgery, King Fahd Medical City, Riyadh, Kingdom of Saudi Arabia.

出版信息

Saudi Med J. 2010 Apr;31(4):442-4.

Abstract

The accidental ingestion of a foreign body is a common problem in children, but ingestion of magnets is rare. When multiple magnets are ingested, they may attract each other and cause pressure necrosis through the bowel walls and eventually lead to serious complications like obstruction, perforation, and fistula formation. We report a case of a 5-year-old girl with jejunocecal fistula following ingestion of 2 magnet toys; it highlights the diagnostic challenge and the need for early surgical intervention in children especially when multiple magnets are ingested.

摘要

意外吞食异物是儿童常见的问题,但吞食磁铁的情况较为罕见。当吞食多块磁铁时,它们可能相互吸引,通过肠壁造成压迫性坏死,最终导致诸如梗阻、穿孔和瘘管形成等严重并发症。我们报告一例5岁女童在吞食2个磁性玩具后发生空肠回肠瘘的病例;该病例凸显了诊断方面的挑战以及对儿童进行早期手术干预的必要性,尤其是在吞食多块磁铁的情况下。

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