Blevrakis Evangelos, Raissaki Maria, Xenaki Sofia, Astyrakaki Elissavet, Kholcheva Nelli, Chrysos Emmanuel
Dept of Pediatric Surgery. University Hospital of Heraklion, Crete, Greece.
Dept of Radiology. University Hospital of Heraklion, Crete, Greece.
Ann Med Surg (Lond). 2018 May 30;31:29-33. doi: 10.1016/j.amsu.2018.04.033. eCollection 2018 Jul.
Ingested foreign bodies occur in children younger than 3 years and pass uneventfully through the gastrointestinal tract. However, multiple magnet ingestion are associated with serious complications. A 9-year old male with abdominal pain and vomiting 3 days prior to admission, underwent abdominal radiographs showing radiopaque foreign bodies. Ultrasonography (US) independently discovered one magnet floating in the jejunum. Preoperative Computed Tomography (CT) confirmed the presence of two neighbouring magnets causing obstruction and beaking of an adjacent jejunal loop. Laparotomy led to uneventful recovery of transmesenteric fistula formation following pressure necrosis in two jejunal loops. We present the first case of multiple magnet ingestion managed in our institution, where the prevalence of magnet ingestions is low due to unpopularity of magnet toys.
Awareness of the potentially devastating effects of multiple magnets passing the pylorus and the contribution of different imaging modalities for the diagnosis are emphasized and discussed.
摄入异物发生于3岁以下儿童，通常可顺利通过胃肠道。然而，吞食多个磁铁会引发严重并发症。一名9岁男性在入院前3天出现腹痛和呕吐，腹部X光片显示有不透射线的异物。超声检查独立发现一枚磁铁漂浮在空肠内。术前计算机断层扫描（CT）证实有两枚相邻磁铁导致空肠袢梗阻和鸟嘴样改变。剖腹手术使两个空肠袢因压力性坏死形成的肠系膜瘘顺利恢复。我们报告了我院处理的首例多枚磁铁摄入病例，我院由于磁铁玩具不受欢迎，磁铁摄入的发生率较低。
强调并讨论了对多枚磁铁通过幽门可能造成的毁灭性影响的认识，以及不同成像方式对诊断的作用。
