Ileocecal Fistula Caused by Multiple Foreign Magnetic Bodies Ingestion

The incidence of accidental foreign body (FBs) ingestion is 100,000 cases/year in the US, with over than 80% of cases occurring in children below 5 years of age. Although a single FB may pass spontaneously and uneventfully through the digestive tract, the ingestion of multiple magnetics can cause se...

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Main Authors: Vittorio Cherchi, Gian Luigi Adani, Elda Righi, Umberto Baccarani, Giovanni Terrosu, Nicola Vernaccini, Vittorio Bresadola, Sergio Intini, Andrea Risaliti
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2018/7291539
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author Vittorio Cherchi
Gian Luigi Adani
Elda Righi
Umberto Baccarani
Giovanni Terrosu
Nicola Vernaccini
Vittorio Bresadola
Sergio Intini
Andrea Risaliti
author_facet Vittorio Cherchi
Gian Luigi Adani
Elda Righi
Umberto Baccarani
Giovanni Terrosu
Nicola Vernaccini
Vittorio Bresadola
Sergio Intini
Andrea Risaliti
author_sort Vittorio Cherchi
collection DOAJ
description The incidence of accidental foreign body (FBs) ingestion is 100,000 cases/year in the US, with over than 80% of cases occurring in children below 5 years of age. Although a single FB may pass spontaneously and uneventfully through the digestive tract, the ingestion of multiple magnetics can cause serious morbidity due to proximate attraction through the intestinal wall. Morbidity and mortality depend on a prompt and correct diagnosis which is often difficult and delayed due to the patient's age and because the accidental ingestion may go unnoticed. We report our experience in the treatment of an 11-year-old child who presented to the emergency department with increasing abdominal pain, vomiting, diarrhea, and fever. Surgery evidenced an ileocecal fistula secondary to multiple magnetic FB ingestion with attraction by both sides of the intestinal wall. A 5-centimeter ileal resection was performed, and the cecal fistula was closed with a longitudinal manual suture. The child was discharged at postoperative day 8. After one year, the patient’s clinical condition was good.
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institution Kabale University
issn 2090-6900
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language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series Case Reports in Surgery
spelling doaj-art-48e5d0fb92a943058a149f3d4afb45af2025-08-20T03:36:48ZengWileyCase Reports in Surgery2090-69002090-69192018-01-01201810.1155/2018/72915397291539Ileocecal Fistula Caused by Multiple Foreign Magnetic Bodies IngestionVittorio Cherchi0Gian Luigi Adani1Elda Righi2Umberto Baccarani3Giovanni Terrosu4Nicola Vernaccini5Vittorio Bresadola6Sergio Intini7Andrea Risaliti8Department of Medicine, University of Udine, P.le Kolbe, 33100 Udine, ItalyDepartment of Medicine, University of Udine, P.le Kolbe, 33100 Udine, ItalyDepartment of Medicine, University of Udine, P.le Kolbe, 33100 Udine, ItalyDepartment of Medicine, University of Udine, P.le Kolbe, 33100 Udine, ItalyDepartment of Medicine, University of Udine, P.le Kolbe, 33100 Udine, ItalyDepartment of Medicine, University of Udine, P.le Kolbe, 33100 Udine, ItalyDepartment of Medicine, University of Udine, P.le Kolbe, 33100 Udine, ItalyDepartment of Medicine, University of Udine, P.le Kolbe, 33100 Udine, ItalyDepartment of Medicine, University of Udine, P.le Kolbe, 33100 Udine, ItalyThe incidence of accidental foreign body (FBs) ingestion is 100,000 cases/year in the US, with over than 80% of cases occurring in children below 5 years of age. Although a single FB may pass spontaneously and uneventfully through the digestive tract, the ingestion of multiple magnetics can cause serious morbidity due to proximate attraction through the intestinal wall. Morbidity and mortality depend on a prompt and correct diagnosis which is often difficult and delayed due to the patient's age and because the accidental ingestion may go unnoticed. We report our experience in the treatment of an 11-year-old child who presented to the emergency department with increasing abdominal pain, vomiting, diarrhea, and fever. Surgery evidenced an ileocecal fistula secondary to multiple magnetic FB ingestion with attraction by both sides of the intestinal wall. A 5-centimeter ileal resection was performed, and the cecal fistula was closed with a longitudinal manual suture. The child was discharged at postoperative day 8. After one year, the patient’s clinical condition was good.http://dx.doi.org/10.1155/2018/7291539
spellingShingle Vittorio Cherchi
Gian Luigi Adani
Elda Righi
Umberto Baccarani
Giovanni Terrosu
Nicola Vernaccini
Vittorio Bresadola
Sergio Intini
Andrea Risaliti
Ileocecal Fistula Caused by Multiple Foreign Magnetic Bodies Ingestion
Case Reports in Surgery
title Ileocecal Fistula Caused by Multiple Foreign Magnetic Bodies Ingestion
title_full Ileocecal Fistula Caused by Multiple Foreign Magnetic Bodies Ingestion
title_fullStr Ileocecal Fistula Caused by Multiple Foreign Magnetic Bodies Ingestion
title_full_unstemmed Ileocecal Fistula Caused by Multiple Foreign Magnetic Bodies Ingestion
title_short Ileocecal Fistula Caused by Multiple Foreign Magnetic Bodies Ingestion
title_sort ileocecal fistula caused by multiple foreign magnetic bodies ingestion
url http://dx.doi.org/10.1155/2018/7291539
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