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Abstract
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AIM: The aim of this study was to investigate clinical characteristics and management of perforations of the digestive tract with foreign bodies (FB) in children.
METHODS: This study retrospectively analyzed clinical manifestations, FB types, perforation sites, treatments, and prognoses of 13 children diagnosed with gastrointestinal perforations with FBs.
RESULTS: Of the 13 cases, four cases were upper digestive tract perforations with FBs in the esophagus and perforation sizes were 0.8-1.2 cm. Nine cases were lower digestive tract perforations with FBs in the ileum (four cases), jejunum (two cases), colon (one case), and rectum (two cases), with perforation sizes of 0.50.8 cm. Of the 13 cases of perforations, seven cases were single-site-perforation and six cases were double-siteperforations. FBs included three cases of jujube nuclei, three cases of thermometers, four cases of magnets, one case of button battery, one case of sunflower shell, and one case of chicken bone.
CONCLUSION: As sharp or multiple magnetic digestive tract FBs can cause one or more perforations and damage to peripheral blood vessels, along with other serious complications, close inpatient observation is required. Patients confirmed to have ingested sharp FB with vomiting, hematemesis, eating difficulty, abdominal distention or abdominal pain, or multiple magnets should be regarded as conditional surgical patients.
Keywords: Multiple magnet ingestion
Language: en |