Ren Huan, Shi Dong, Gu Zhaowei, Cao Zhiwei
Department of Otolaryngology Head and Neck Surgery, Shengjing Hospital of China Medical University, Shenyang, China.
Front Pediatr. 2021 Nov 1;9:765373. doi: 10.3389/fped.2021.765373. eCollection 2021.
Esophageal and tracheal foreign body ingestion trigger common pediatric emergencies. In this case report, we describe a pediatric patient with simultaneous tracheal and esophageal obstruction caused by foreign bodies. A child aged 2 years and 1 month swallowed a pair of metallic magnetic beads at the same time; one bead entered the trachea and the other bead entered the esophagus. We suspected that the two magnetic beads were mutually attracted and thus became trapped in their respective lumina. The tracheal foreign body was uneventfully removed; this dislodged the esophageal foreign body, which was then excreted. There were no serious complications in the present case, but parents and medical personnel should be mindful of the potential hazards associated with ingestion of multiple magnetic foreign bodies. A high index of suspicion is appropriate. Investigations must be carefully planned. Treatment should not be delayed; the consequences of delay may be serious.
食管和气管异物摄入引发常见的儿科急症。在本病例报告中,我们描述了一名因异物导致气管和食管同时梗阻的儿科患者。一名2岁1个月大的儿童同时吞下了一对金属磁珠;一颗磁珠进入气管,另一颗磁珠进入食管。我们怀疑这两颗磁珠相互吸引,从而被困在各自的管腔内。气管异物顺利取出;这使得食管异物移位,随后排出体外。本病例未出现严重并发症,但家长和医务人员应注意摄入多个磁性异物相关的潜在危害。保持高度怀疑是恰当的。必须精心规划检查。治疗不应延迟;延迟的后果可能很严重。