20 Dec 2024Case Report
Ingestion of Multiple Magnets by Children: Diagnosis and Management When Ingestion is not Witnessed
Letizia Corbi 1Simone Frediani 1Ivan Aloi 1Valerio Pardi 1Arianna Bertocchini 1Antonella Accinni 1Alessandro Inserra 1
Affiliations
Article Info
1 General and Thoracic Pediatric Surgery Unit, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy
Published: 20 Dec 2024
Copyright © 2024 The Author(s).
This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
AIM: Foreign body ingestion, particularly that of magnets, is a significant issue for children aged 6 months to 3 years due to their prevalence in toys and household items. Most ingested foreign bodies pass naturally, but 10%–20% of such cases require endoscopic removal, and <1% require surgery. CASE PRESENTATION: A 2-year-old girl presented with abdominal pain, nausea, and vomiting. Abdominal ultrasonography revealed numerous non-specific mesenteric lymph nodes. Plain abdominal radiography identified multiple high-radiopacity foreign bodies, 4.5 mm in diameter. RESULTS: We performed an emergency laparotomy and removed 24 spherical magnets through an intestinal breach. CONCLUSIONS: Over the past decade, the incidence of magnet ingestion in children has increased notably, largely owing to the presence of small high-strength neodymium magnets in toys. Legislative actions, including recalls and bans, have effectively reduced ingestion cases; however, challenges, such as the resale of banned products and insufficient public awareness, persist. This case report addresses the concerns of this ongoing trend and suggests easy preventive measures to improve the safety of children.
Keywords
- multiple magnet ingestion
- multiple foreign body ingestion
- laparotomy
- pediatric surgery
- intestinal perforation
- prevention
- legislative actions