Acta Scientific Paediatrics (ISSN: 2581-883X)

Case Series Volume 5 Issue 7

Unusual Cause of Complex Enteroenteric Fistulae in Children: A Warning Letter to the Parents

Mohamad Daboos1, Mohamed Mahfouz1, Dalia Gad2, Mabrouk Akl1, Mohamed El-Sayed1, Omar Alsamahy2, Medhat Ibrahim1, Riadh BenMalek3, Gamal Al-Saied1,3* and Mohamed Negm4

1College of Medicine, Al-Azhar University, Cairo, Egypt
2College of Medicine for Girls, Al-Azhar University, Cairo, Egypt
3King Faisal Medical Complex, KSA
4Qena Faculty of Medicine, South Valley University, Qena, Egypt

*Corresponding Author: Gamal Al-Saied, College of Medicine, Al-Azhar University, Cairo, Egypt.

Received: June 08, 2022; Published:

Abstract

Background: Foreign body (FB) ingestion is a common problem in infants and children. Most of them pass spontaneously via gastroentstinal tract. Some of them are potentially dangerous and may be fatal.

Patients and Methods: Six children (4 boys and 2 girls) have swallowed multiple high strength and powerful rare earth element Neodymium magnets. Their ages ranged between (nine months to six-year-old). Four cases were subjected to open and two for laparoscopic exploration (one of them converted to open).

Results: multiple perforations of small intestine were found in four cases and multiple complicated enteroenteric fistulae in the other two cases. Simple closure of small bowel perforations were done in four cases and resection anastomosis were done in the other two cases. There was complication either intraoperative or postoperative.

Conclusion: Ingestion of Neodymium magnetic beads by children or co-ingestion of other metallic objects. are very hazardous. Early endoscopic removal is recommended if the patient presents immediately after ingestion. Surgical removal (laparoscopic or open) is mandatory in such cases. Awareness of parents through media is required to abandon the purchase of toys with high-strength magnetic beads or buckyballs.

Keywords: Enteroenteric Fstulae; Neodymium Magnetic Beads

References

  1. Webb “Management of foreign bodies of the upper gastrointestinal tract”. Gastroenterology 94 (1988): 204-216.
  2. Al-Saied G., et al. “Unusual cause of small-bowel obstructions in infants: A warning letter to the parents”. Journal of Pediatric Surgery Case Reports 11 (2016): 39-43.
  3. Reeves PT., et al. “Trends of magnet ingestion in children, an ironic attraction”. Journal of Pediatric Gastroenterology and Nutrition 66 (2018): e116-121.
  4. Strickland M., et al. “Magnetic foreign body injuries: a large pediatric hospital experience”. Journal of Pediatric 165 (2014): 332-335.
  5. Dahshan A. “Management of ingested foreign bodies in children”. Journal of the Oklahoma State Medical Association 94 (2001): 18306.
  6. Brown JC., et al. “Too attractive: the growing problem of magnet ingestions in children”. Pediatric Emergency Care 29 (2013): 1170-1174.
  7. Abbas MI., et al. “Magnet ingestions in children presenting to US emergency departments, 2002-2011”. Journal of Pediatric Gastroenterology and Nutrition 57 (2013): 18-22.
  8. Hodges NL., et al. “Rare-earth magnet ingestion related injuries in the pediatric population: a review”. American Journal of Lifestyle Medicine 11 (2015): 259-263.
  9. Shalaby MS. “How dangerous a toy can be? The magnetic effect”. Archives of Disease in Childhood 100 (2015): 1049-1050.
  10. Mandhan P., et al. “Troubling toys: rare earth magnet ingestion in children causing bowel perforations”. Case Reports in Pediatrics 2014 (2014): 908730.
  11. Strickland M., et al. “Magnetic foreign body injuries: a large pediatric hospital experience”. Journal of Pediatrics 165 (2014): 332-335.
  12. Waters AM., et al. “Surgical management and morbidity of pediatric magnet ingestions”. Journal of Surgery Research 199 (2015): 137-140.
  13. Hussain SZ., et al. “Management of ingested magnets in children”. Journal of Pediatric Gastroenterology and Nutrition 55 (2012): 239-242.
  14. Cozzarelli R., et al. “Abdominal pain secondary to ileocecal fistulae by ingestion of multiple magnetic bodies: clinical Case”. Revista Chilena de Pediatría 88 (2017): 428e30.
  15. Si X., et al. “Multiple magnetic foreign bodies causing severe digestive tract injuries in a child”. Case Report Gastroenterology 10 (2016): 720-727.
  16. Olczak M and Skrzypek E. “A case of child death caused by intestinal volvulus following magnetic toy ingestion”. Legal Medicine (Tokyo) 17 (2015): 184-187.
  17. De Roo AC., et al. “Rare-earth magnet ingestion related injuries among children, 2000d2012”. Clinical Pediatrics (Phila) 52 (2013): 1006-1013.
  18. Blevrakis E., et al. “Multiple magnet ingestion causing instestinal obstruction and entero-enteric fistula: which imaging modality besides radiographs? A case report”. Annals of Medicine and Surgery (Lond) 31 (2018): 29-33.
  19. Butterworth J and Feltis B. “Toy magnet ingestion in children: revising the algorithm”. Journal of Pediatric Surgery 42 (2007): 3-5.
  20. Wildhaber BE., et al. “Ingestion of magnets: innocent in solitude, harmful in groups”. Journal of Pediatric Surgery 40 (2005): 33-35.
  21. Gayatri S Munghatec., et al. “Multiple magnetic foreign bodies causing complex intestinal fistula”. Journal of Pediatric Surgery Case Reports 63 (2020) 101661.
  22. Cherchi V., et al. “Ileocecal fistula caused by multiple foreign magnetic bodies ingestion”. Case Reports in Surgery 2018 (2018): 7291539.
  23. Sola Jr R., et al. “Magnet foreign body ingestion: rare occurrence but big consequences”. Journal of Pediatric Surgery9 (2018): 1815-1819.
  24. Vijaysadan V., et al. “Revisiting swallowed troubles: intestinal complications caused by two magnets-a case report, review and proposed revision to the algorithm for the management of foreign body ingestion”. Journal of the American Board of Family Medicine5 (2006): 511-516.
  25. Hussain SZ., et al. “Management of ingested magnets in children”. Journal of Pediatric Gastroenterology and Nutrition3 (2012): 239-242.
  26. Butterworth J and Feltis B. “Toy magnet ingestion in children: revising the algorithm”. Journal of Pediatric Surgery12 (2007): 3.
  27. Wong HH and Phillips BA. “Opposites attract: a case of magnet ingestion”. CJEM5 (2009): 493-495.
  28. Holtz T K., et al. “Unexpected finding of ingested magnetic toys in a child undergoing cerebral MRI”. Journal of Pediatric Surgery Case Reports 61 (2020): 101579.
  29. Richard Sola Jr., et al. “Magnet foreign body ingestion: rare occurrence but big consequences”. Journal of Pediatric Surgery 53 (2017): 1815-1819.

Citation

Citation: Gamal Al-Saied., et al. “Unusual Cause of Complex Enteroenteric Fistulae in Children: A Warning Letter to the Parents”. Acta Scientific Paediatrics 5.7 (2022): 00-00.

Copyright

Copyright: © 2022 Gamal Al-Saied., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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