Zefov Vassil, Hashemi Huda Al, Javaid Usman
Department of diagnostic radiology, Dubai Health Authority, Dubai, United Arab Emirates.
Department of pediatric surgery, Dubai Health Authority, Dubai, United Arab Emirates.
Radiol Case Rep. 2022 May 6;17(7):2337-2341. doi: 10.1016/j.radcr.2022.04.007. eCollection 2022 Jul.
Foreign body ingestion is one of the most common pediatric emergencies. As part of their cognitive development, infants and toddlers are extremely curious and constantly explore their surroundings through their senses, namely taste. The ubiquity of toys containing magnetic elements consecutively meant an increase in the cases of children ingesting said magnets. While most ingested foreign bodies, including a single magnet, will spontaneously traverse the gastrointestinal tract without problems, some may give rise to grave and potentially life-threatening complications; the latter is often seen in the presence of 2 or more magnets or paramagnetic material. The diagnosis of ingestion of magnetic foreign bodies remains a challenge, given its often ambiguous history and presentation; nonetheless, their abundance, gravity, and preventability of their complications alone should render physicians vigilant and keep a low threshold of suspicion.
异物摄入是最常见的儿科急症之一。作为认知发展的一部分，婴幼儿好奇心极强，会不断通过感官，即味觉来探索周围环境。含有磁性元素的玩具随处可见，这也导致儿童摄入此类磁铁的案例不断增加。虽然大多数摄入的异物，包括单个磁铁，会自发通过胃肠道而无问题，但有些可能会引发严重且可能危及生命的并发症；后者常见于存在两个或更多磁铁或顺磁性物质的情况下。鉴于磁性异物摄入的病史和表现往往不明确，其诊断仍然是一项挑战；尽管如此，其高发性、严重性以及并发症的可预防性本身就应使医生保持警惕，并保持较低的怀疑阈值。
