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CC BY 4.0 · European J Pediatr Surg Rep. 2020; 08(01): e68-e70
DOI: 10.1055/s-0040-1714669
Case Report

Removal of Ingested Magnetic Bodies via Laparoscopic Appendectomy

Vojtech Dotlacil 
1   Department of Paediatric Surgery, Second Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic
,
Barbora Frybova
1   Department of Paediatric Surgery, Second Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic
,
Martin Vyhnanek
1   Department of Paediatric Surgery, Second Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic
,
Lubos Zeman
1   Department of Paediatric Surgery, Second Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic
,
Michal Rygl
1   Department of Paediatric Surgery, Second Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic
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Abstract

Ingestion of a foreign body is a frequent diagnosis in the pediatric population. In a small percentage of cases, foreign bodies themselves are strong magnets, and swallowing of multiple magnetic bodies can lead to serious complications in the gastrointestinal tract. Two consecutive case reports of patients who swallowed two magnetic beads are presented. In both cases, the abdominal radiograph described two magnets in contact, one in the area of the left hypochondrium and one in the right hypogastrium. Attempts of endoscopic localization and removal were unsuccessful. Due to the failure of magnet progression, laparoscopic revision of the abdominal cavity was indicated in both patients on the 25th and 4th day after swallowing. Using the magnetic forces between the magnets and the laparoscopic instruments, the foreign bodies were localized in the appendix of the first patient and in the cecum of the other one. The magnets were extracted together with the removal of the appendix in both patients. This is one of the first articles describing the successful extraction of foreign magnetic bodies from the gastrointestinal tract via laparoscopic appendectomy.

Keywords

magnet ingestion - laparoscopic appendectomy - pediatric - surgery - hypochondrium


Publication History

Received: 10 November 2019

Accepted: 05 June 2020

Article published online:
21 October 2020

© .

Georg Thieme Verlag KG
Stuttgart · New York

 

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