Unnoticed ingestion of magnetic balls mimics acute appendicitis
Magnetic object ingestion is rare; however, it is important to be considered and recognized by physicians. Its incidence is expected to be 3.06 cases per 100000 children per year but during the last decade this number has grown fivefold owing to the growing popularity of magnetic toys. Although a si...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-10-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576622002512 |
| _version_ | 1818479735500439552 |
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| author | Amr Moussa Mohamed Gouda Mohamed Jallouli |
| author_facet | Amr Moussa Mohamed Gouda Mohamed Jallouli |
| author_sort | Amr Moussa |
| collection | DOAJ |
| description | Magnetic object ingestion is rare; however, it is important to be considered and recognized by physicians. Its incidence is expected to be 3.06 cases per 100000 children per year but during the last decade this number has grown fivefold owing to the growing popularity of magnetic toys. Although a single FB may pass spontaneously and uneventfully through the digestive tract, the ingestion of multiple magnetic can cause serious morbidity due to proximate attraction through the intestinal wall.In everyday clinical practice, physicians combine their clinical suspicion of acute appendicitis (AA) with laboratory tests findings and imaging studies to make a final diagnosis. CT scan can be useful in some cases to avoid per operative surprise.We report a case of an 8 years -old child who his admitted for query acute appendicitis. Radiological investigation shows three magnets ball at the right iliac fossa with air fluid level without any signs of perforations. Taking up the clinical history, the patient seems reliable and does not remember having ingested these balls. Colonoscopy fails to remove all the magnets. At surgery we found two perforations one at the terminal ilium and the other on the lateral side of cecum with perforation of the mesoappendix and inflamed appendix. An appendectomy was done with primary closure of both perforations. |
| first_indexed | 2024-12-10T11:14:41Z |
| format | Article |
| id | doaj.art-eedb1107eaa745d6b08d27532fdacfc8 |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-12-10T11:14:41Z |
| publishDate | 2022-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-eedb1107eaa745d6b08d27532fdacfc82022-12-22T01:51:15ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662022-10-0185102424Unnoticed ingestion of magnetic balls mimics acute appendicitisAmr Moussa0Mohamed Gouda1Mohamed Jallouli2Pediatric Surgery Unit, Department of General Surgery, Mouwasat Hospital Dammam, Saudi ArabiaGastroenterology Unit, Department of Internal Medicine, Mouwasat Hospital Dammam, Saudi ArabiaPediatric Surgery Unit, Department of General Surgery, Mouwasat Hospital Dammam, Saudi Arabia; School of Medicine of Sfax, Sfax University, Tunisia; Corresponding author. Ohod District, P.O. Box 282, Dammam, Saudi Arabia.Magnetic object ingestion is rare; however, it is important to be considered and recognized by physicians. Its incidence is expected to be 3.06 cases per 100000 children per year but during the last decade this number has grown fivefold owing to the growing popularity of magnetic toys. Although a single FB may pass spontaneously and uneventfully through the digestive tract, the ingestion of multiple magnetic can cause serious morbidity due to proximate attraction through the intestinal wall.In everyday clinical practice, physicians combine their clinical suspicion of acute appendicitis (AA) with laboratory tests findings and imaging studies to make a final diagnosis. CT scan can be useful in some cases to avoid per operative surprise.We report a case of an 8 years -old child who his admitted for query acute appendicitis. Radiological investigation shows three magnets ball at the right iliac fossa with air fluid level without any signs of perforations. Taking up the clinical history, the patient seems reliable and does not remember having ingested these balls. Colonoscopy fails to remove all the magnets. At surgery we found two perforations one at the terminal ilium and the other on the lateral side of cecum with perforation of the mesoappendix and inflamed appendix. An appendectomy was done with primary closure of both perforations.http://www.sciencedirect.com/science/article/pii/S2213576622002512Bowel perforationFistulaForeign bodyMagnets |
| spellingShingle | Amr Moussa Mohamed Gouda Mohamed Jallouli Unnoticed ingestion of magnetic balls mimics acute appendicitis Journal of Pediatric Surgery Case Reports Bowel perforation Fistula Foreign body Magnets |
| title | Unnoticed ingestion of magnetic balls mimics acute appendicitis |
| title_full | Unnoticed ingestion of magnetic balls mimics acute appendicitis |
| title_fullStr | Unnoticed ingestion of magnetic balls mimics acute appendicitis |
| title_full_unstemmed | Unnoticed ingestion of magnetic balls mimics acute appendicitis |
| title_short | Unnoticed ingestion of magnetic balls mimics acute appendicitis |
| title_sort | unnoticed ingestion of magnetic balls mimics acute appendicitis |
| topic | Bowel perforation Fistula Foreign body Magnets |
| url | http://www.sciencedirect.com/science/article/pii/S2213576622002512 |
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