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.
June 08, 2022; Published:
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
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