From: Magnetic foreign body ingestion in pediatric patients: report of three cases
Patient 1 | Patient 2 | Patient 3 | |
---|---|---|---|
Age/ Gender | 5 year/ female | 28 month/ male | 14 month/ male |
Chief complaints at the time of admission | FB ingestion | Irritability | Irritability Vomiting |
Physical examination at the time of admission | No signs of surgical abdomen | No signs of surgical abdomen | No signs of surgical abdomen |
Laboratory examination at the time of admission | Normal | Normal | Normal |
Initial diagnosis | Magnetic FB (the number was uncertain) | Metallic FB | Metallic FB |
Initial treatment plan | Admission & observation | Admission & observation | Discharge |
Time to operation | 7 days | 4 days | 2 days |
Cause to perform an operation | FB did not pass through digestive tract | Sudden-onset surgical abdomen | Incidentally discovered gastric perforation on gastroduodenoscopy |
Operation findings | 5 magnetic FBs Ileo-ileal fistula Cecal perforation | 2 magnetic FBs Ileo-cecal fistula Internal herniation with strangulation of the ileum | 3 magnetic FBs Gastro-jejunal fistula Ileal perforation |
Operation | Primary closure | Primary closure Ileum resection | Primary closure |
Outcome | Discharged on 7th POD | Discharged on 10th POD | Discharged on 8th POD |