College of Medicine, Lake Erie College of Osteopathic Medicine, Elmira, New York, USA.
Gastroenterology, Guthrie Healthcare System, Sayre, Pennsylvania, USA
BMJ Case Rep. 2023 Oct 19;16(10):e256418. doi: 10.1136/bcr-2023-256418.
Foreign body ingestion in the paediatric population, especially when the details surrounding the ingestion are unknown, can be particularly difficult to manage. Magnets pose a unique challenge, as their magnetic field and caustic properties can instigate significant damage to the gastrointestinal tract if not treated in a timely manner. We report the case of a teenage male who presented to the emergency department with a chief complaint of cramping and abdominal pain. He was found to have multiple metallic foreign bodies within the lumen of the stomach, the distal ileum and the ascending colon/ileocecal valve region, which he did not have any recollection of ingesting. The management of an unknown multiple-magnet ingestion in the older paediatric population is not well documented, and this case may provide unique insight for the management of similar cases.
儿童群体中的异物摄入，特别是当摄入的细节未知时，可能特别难以处理。磁铁构成了一个独特的挑战，因为如果不及时治疗，它们的磁场和腐蚀性会对胃肠道造成严重损害。我们报告了一名青少年男性的病例，他因腹痛和痉挛到急诊就诊。发现他的胃腔、回肠末端和升结肠/回盲瓣区域有多个金属异物，他不记得摄入过这些异物。对于年龄较大的儿童群体中未知的多个磁铁摄入的管理，目前记录的资料并不多，本病例可能为类似病例的管理提供独特的见解。
