Phen Claudia, Wilsey Alexander, Swan Emily, Falconer Victoria, Summers Lisa, Wilsey Michael
Office of Medical Education, Johns Hopkins All Children's Hospital, St. Petersburg, FL, United States.
College of Arts and Sciences, Florida State University, Tallahassee, FL, United States.
Pediatr Gastroenterol Hepatol Nutr. 2018 Oct;21(4):336-340. doi: 10.5223/pghn.2018.21.4.336. Epub 2018 Oct 10.
Foreign body ingestions pose a significant health risk in children. Neodymium magnets are high-powered, rare-earth magnets that is a serious issue in the pediatric population due to their strong magnetic force and high rate of complications. When multiple magnets are ingested, there is potential for morbidity and mortality, including gastrointestinal fistula formation, obstruction, bleeding, perforation, and death. Many cases require surgical intervention for removal of the magnets and management of subsequent complications. However, we report a case of multiple magnet ingestion in a 19-month-old child complicated by gastroduodenal fistula that was successfully treated by endoscopic removal and supportive care avoiding the need for surgical intervention. At two-week follow-up, the child was asymptomatic and upper gastrointestinal series obtained six months later demonstrated resolution of the fistula.
异物摄入对儿童健康构成重大风险。钕磁铁是一种高功率的稀土磁铁，由于其强大的磁力和高并发症发生率，在儿科人群中是一个严重问题。当摄入多个磁铁时，存在发病和死亡的可能性，包括胃肠道瘘形成、梗阻、出血、穿孔和死亡。许多病例需要手术干预以取出磁铁并处理后续并发症。然而，我们报告了一例19个月大儿童摄入多个磁铁并发胃十二指肠瘘的病例，该病例通过内镜取出和支持性护理成功治疗，避免了手术干预的需要。在两周的随访中，患儿无症状，六个月后进行的上消化道造影显示瘘管已愈合。
