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多枚磁铁摄入导致肠穿孔:一种较为凶险的异物

Multiple Magnet Ingestion leading to Bowel Perforation: A Relatively Sinister Foreign Body.

作者信息

Arshad Muhammad, Jeelani Sarah Masroor, Salim Areej, Hussain Bakhtawar Dilawar

机构信息

Pediatric Surgery, Aga Khan University Hospital, Karachi, PAK.

出版信息

Cureus. 2019 Oct 8;11(10):e5866. doi: 10.7759/cureus.5866.

Abstract

Foreign body ingestion is a common reason for seeking emergency care among children. One of the more serious foreign bodies are the ingestion of multiple magnets or concurrent ingestion of a magnet and a metallic foreign body. Conservative management with serial imaging can be misleading in such cases. Multiple magnets tend to have strong attractive forces among them and may encase loops of bowel within them. Once entrapped, pressure necrosis and perforation will ensue, and thus, a low threshold should be adopted for surgical exploration in such cases. We present the case of a two-year-old male who had an accidental, unwitnessed ingestion of multiple magnets and also report the subsequent surgical management and associated morbidity.

摘要

吞食异物是儿童寻求急诊治疗的常见原因。较为严重的异物吞食情况之一是吞食多个磁铁或同时吞食一块磁铁和一个金属异物。在这种情况下,采用连续成像的保守治疗可能会产生误导。多个磁铁之间往往具有强大的吸引力,可能会夹住肠袢。一旦被困住,就会发生压迫性坏死和穿孔,因此,对于这种情况应采取较低的手术探查阈值。我们报告了一名两岁男性意外、无人目睹吞食多个磁铁的病例,并介绍了随后的手术治疗及相关并发症情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47ca/6834100/df5d767c45e4/cureus-0011-00000005866-i01.jpg

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