Advantages of Fluoroscopy for Accidental Ingestion of Multiple Magnets

Foreign body ingestion is one of the common problems among children. A three-year-old girl presented to the emergency department 2 h after ingesting three small disk-type neodymium magnets. She had no gastrointestinal symptoms. Abdominal radiography revealed a foreign body in the left upper quadrant...

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Main Authors: Toshihiko Kakiuchi, Tetsuya Nosho
Format: Article
Language:English
Published: Hindawi Limited 2023-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2023/1512514
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author Toshihiko Kakiuchi
Tetsuya Nosho
author_facet Toshihiko Kakiuchi
Tetsuya Nosho
author_sort Toshihiko Kakiuchi
collection DOAJ
description Foreign body ingestion is one of the common problems among children. A three-year-old girl presented to the emergency department 2 h after ingesting three small disk-type neodymium magnets. She had no gastrointestinal symptoms. Abdominal radiography revealed a foreign body in the left upper quadrant, which was the three circular magnets. Fluoroscopy was performed. She was placed in the right lateral decubitus position for 3 min and slowly returned to the supine position. Abdominal fluoroscopy revealed a foreign body migrating near the middle of the spine. Similarly, when she was placed in the left lateral decubitus position for 3 min and slowly returned to the supine position, the foreign body migrated to the outermost part of her left upper quadrant. Thus, we anticipated that the magnets could be excreted spontaneously. The patient did not develop any gastrointestinal symptoms after returning home, and two days later, three overlapping magnets were finally found in her stool. During accidental ingestion of single or multiple desk-type neodymium magnets, endoscopic removal may not be necessary if they are mobile and clump together in the stomach. Regarding the ingestion of multiple desk-type neodymium magnets, fluoroscopy is useful to determine the extent of endoscopic intervention.
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spelling doaj.art-2dbe188aafac4a8bb6863200dd0dc3672023-03-13T11:25:45ZengHindawi LimitedCase Reports in Pediatrics2090-68112023-01-01202310.1155/2023/1512514Advantages of Fluoroscopy for Accidental Ingestion of Multiple MagnetsToshihiko Kakiuchi0Tetsuya Nosho1Department of PediatricsDepartment of PediatricsForeign body ingestion is one of the common problems among children. A three-year-old girl presented to the emergency department 2 h after ingesting three small disk-type neodymium magnets. She had no gastrointestinal symptoms. Abdominal radiography revealed a foreign body in the left upper quadrant, which was the three circular magnets. Fluoroscopy was performed. She was placed in the right lateral decubitus position for 3 min and slowly returned to the supine position. Abdominal fluoroscopy revealed a foreign body migrating near the middle of the spine. Similarly, when she was placed in the left lateral decubitus position for 3 min and slowly returned to the supine position, the foreign body migrated to the outermost part of her left upper quadrant. Thus, we anticipated that the magnets could be excreted spontaneously. The patient did not develop any gastrointestinal symptoms after returning home, and two days later, three overlapping magnets were finally found in her stool. During accidental ingestion of single or multiple desk-type neodymium magnets, endoscopic removal may not be necessary if they are mobile and clump together in the stomach. Regarding the ingestion of multiple desk-type neodymium magnets, fluoroscopy is useful to determine the extent of endoscopic intervention.http://dx.doi.org/10.1155/2023/1512514
spellingShingle Toshihiko Kakiuchi
Tetsuya Nosho
Advantages of Fluoroscopy for Accidental Ingestion of Multiple Magnets
Case Reports in Pediatrics
title Advantages of Fluoroscopy for Accidental Ingestion of Multiple Magnets
title_full Advantages of Fluoroscopy for Accidental Ingestion of Multiple Magnets
title_fullStr Advantages of Fluoroscopy for Accidental Ingestion of Multiple Magnets
title_full_unstemmed Advantages of Fluoroscopy for Accidental Ingestion of Multiple Magnets
title_short Advantages of Fluoroscopy for Accidental Ingestion of Multiple Magnets
title_sort advantages of fluoroscopy for accidental ingestion of multiple magnets
url http://dx.doi.org/10.1155/2023/1512514
work_keys_str_mv AT toshihikokakiuchi advantagesoffluoroscopyforaccidentalingestionofmultiplemagnets
AT tetsuyanosho advantagesoffluoroscopyforaccidentalingestionofmultiplemagnets