Case Report
 
Unusual gastric submucosal perforation following multiple magnetic bead ingestion in an infant
Ghassan Nakib1, Valeria Calcaterra2, Balaji Krishnamurthy3, Gloria Pelizzo4
1MD, Department of Pediatric Surgery, Medclinic Middle East, Mediclinic City Hospital Dubai, UAE
2MD, Pediatric Unit, Department of Maternal and Children’s Health, Fondazione IRCCS Policlinico San Matteo and Department of Internal Medicine, University of Pavia, Pavia, Italy
3MD, Pediatric Department, Gastroenterology, Mediclinic ME, Mediclinic city Hospital Dubai, UAE
4MD, Pediatric Surgery Unit, Children’s Hospital, Istituto Mediterraneo di Eccellenza Pediatrica, Palermo, Italy

Article ID: Z01201707CR10805GN
doi:10.5348/ijcri-201766-CR-10805

Address correspondence to:
Dr. Ghassan Nakib
Department of Pediatric Surgery, Medclinic Middle East
Mediclinic City Hospital Dubai
UAE

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How to cite this article
Nakib G, Calcaterra V, Krishnamurthy B, Pelizzo G. Unusual gastric submucosal perforation following multiple magnetic bead ingestion in an infant. Int J Case Rep Images 2017;8(7):451–453.


ABSTRACT

Introduction: Magnetic beads are hazardous, having potentially lethal consequences if ingested.
Case Report: A two-year-old girl, presented to the pediatric emergency department with an history of worsening abdominal pain, nausea and vomiting. The patient appeared in moderate distress. Physical examination revealed abdominal tenderness with guarding and rigidity. On abdominal X-ray examination, nine opaque foreign bodies (magnetic beads) were seen in the left hypochondrium. Explorative gastroscopy was performed and two magnets appeared at the lessure curvature, but not the reaming seven. These were pulled out and another gastroscopic attempt showed appearance of another two of the remaining ones. Removing these, the remaining five were all attached as seen on the X-ray. The magnets must have caused pressure necrosis on a gastric mucosa fold with subsequent limited submucosal perforation making a pouch was the spheres were logged.
Conclusion: The ingestion of multiple magnets may require urgent surgical intervention and early removal because of very high risk of gastrointestinal perforation.

Keywords: Children, Ingestion, Magnetic beads, Perforation



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Author Contributions
Ghassan Nakib – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important content, Final approval of the version to be published
Valeria Calcaterra – Substantial contributions to conception and design of data, Drafting the article, Revising it critically for important content, Final approval of the version to be published
Balaji Krishnamurthy – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important content, Final approval of the version to be published
Gloria Pelizzo – Substantial contributions to conception and design of data, Drafting the article, Revising it critically for important content, Final approval of the version to be published
Guarantor
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Ghassan Nakib et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.