Department of Pediatric Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, 109# Wenzhou Xueyuan West Road, Wenzhou, 325027, Zhejiang, China.
Pediatr Surg Int. 2021 May;37(5):639-643. doi: 10.1007/s00383-020-04814-w. Epub 2021 Jan 3.
Foreign body (FB) ingestion is increasingly common in children, and ingestion of multiple magnetic FBs can cause serious injuries. This study aimed to identify the clinical features and management options of such cases.
A retrospective review was conducted of 35 pediatric patients diagnosed as having ingested multiple magnetic FBs.
The main clinical manifestations were abdominal pain, vomiting, and fever. Of the 35 patients, 6 (17.1%) were conservatively treated and the remaining 29 (82.9%) were surgically treated. Of those who were surgically treated, 26 underwent exploratory laparotomy and 3 underwent laparoscopic surgery that was switched to open surgery. Intestinal structure and function were restored without complications in patients who underwent successful perforation repair following removal of multiple magnetic FBs.
Ingestion of multiple magnetic FBs can lead to intestinal perforations, bowel strangulation, and necrosis. Accordingly, timely diagnosis and effective management of multiple magnetic FB ingestions in pediatric patients are of paramount importance to reduce further complications.
异物（FB）摄入在儿童中越来越常见，摄入多个磁性 FB 可能会导致严重损伤。本研究旨在确定此类病例的临床特征和处理选择。
对 35 例被诊断为摄入多个磁性 FB 的儿科患者进行回顾性研究。
主要临床表现为腹痛、呕吐和发热。35 例患者中，6 例（17.1%）接受保守治疗，其余 29 例（82.9%）接受手术治疗。手术治疗的 29 例中，26 例行剖腹探查术，3 例行腹腔镜手术转为开放性手术。在成功修复多个磁性 FB 所致穿孔后，患者的肠结构和功能得以恢复，无并发症发生。
摄入多个磁性 FB 可导致肠穿孔、肠绞窄和坏死。因此，及时诊断和有效处理儿科患者多个磁性 FB 摄入至关重要，可减少进一步并发症。
