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因同时吞食纽扣电池和磁铁导致的肠扭转和肠梗阻:一例法医学病例报告。

Intestinal volvulus and obstruction due to combined button battery and magnet ingestion: a medico-legal case report.

作者信息

Milaszkiewicz Anna, Baj Jacek, Solarino Biagio, Teresiński Grzegorz

机构信息

Chair and Department of Forensic Medicine, Medical University of Lublin, Lublin, 8B Jaczewskiego st, 20-090, Poland.

Department of Correct, Clinical and Imaging Anathomy, Medical University of Lublin, Lublin, 4 Jaczewskiego st, 20-090, Poland.

出版信息

Forensic Sci Med Pathol. 2025 Sep 6. doi: 10.1007/s12024-025-01078-5.

Abstract

This study presents a medico-legal case study of an infant who died as a result of intestinal volvulus, a rare but severe complication secondary to the ingestion of multiple magnets and button batteries. The mutual attraction of magnets through adjacent intestinal loops, compounded by the corrosive effects of button batteries, can precipitate rapid and irreversible damage to the gastrointestinal wall. A comprehensive review of the literature on documented pediatric cases involving the ingestion of magnets and button batteries was undertaken to compare the spectrum and frequency of complications. The post-mortem computed tomography (PMCT) proved to be a valuable adjunctive tool in medico-legal diagnostics, aiding in the identification and precise localization of foreign bodies prior to dissection, as well as in the assessment of the extent of internal injuries.

摘要

本研究呈现了一个法医学案例,该案例中的婴儿因肠道扭转死亡,肠道扭转是吞食多个磁铁和纽扣电池后引发的一种罕见但严重的并发症。磁铁通过相邻肠袢相互吸引,再加上纽扣电池的腐蚀作用,可迅速对胃肠壁造成不可逆转的损害。我们对已记录的涉及吞食磁铁和纽扣电池的儿科病例文献进行了全面综述,以比较并发症的范围和发生率。尸检计算机断层扫描(PMCT)被证明是法医学诊断中有价值的辅助工具,有助于在解剖前识别异物并精确定位,以及评估内部损伤的程度。

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