Aishat Muhammad, Irshad Omayr M, Shurafa Faris M, Mohamed Sharif
Medicine, Texas College of Osteopathic Medicine, The University of North Texas Health Science Center, Fort Worth, USA.
Anesthesiology, University of Texas Medical Branch at Galveston, Galveston, USA.
Cureus. 2024 Jul 14;16(7):e64541. doi: 10.7759/cureus.64541. eCollection 2024 Jul.
The incidence of foreign body ingestion in young children has been increasing over the past couple of years. Although less than 1% of ingested foreign bodies require surgical intervention, the clinician's awareness should be heightened when the ingested body has a magnetic component. Potential complications of multiple magnetics include intestinal necrosis, perforation, ileus, and sepsis. This case study highlights the clinical presentation, surgical methods, anesthetic considerations, and the need for pediatric intensive care unit (PICU) admission in a two-year-old female child who ingested magnetic beads. The paper presents the patient's history, diagnosis, and surgical procedure, including the use of a novel magnetic apparatus to locate the foreign bodies. Clinicians should have a heightened sense of caution when treating children who have ingested multiple magnetic foreign bodies due to potential gastrointestinal complications and increased morbidity. The case describes the use of a novel approach in utilizing a pacemaker magnet to identify any remaining ingested magnetic foreign bodies in the bowel.
在过去几年中，幼儿吞食异物的发生率一直在上升。虽然不到1%的吞食异物需要手术干预，但当吞食的物体含有磁性成分时，临床医生应提高警惕。多个磁性物体的潜在并发症包括肠坏死、穿孔、肠梗阻和败血症。本病例研究重点介绍了一名两岁女童吞食磁珠后的临床表现、手术方法、麻醉注意事项以及入住儿科重症监护病房（PICU）的必要性。本文介绍了患者的病史、诊断和手术过程，包括使用一种新型磁性装置来定位异物。由于潜在的胃肠道并发症和发病率增加，临床医生在治疗吞食多个磁性异物的儿童时应格外谨慎。该病例描述了一种利用起搏器磁铁识别肠道中任何残留的吞食磁性异物的新方法。
