Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
Login Abbonamenti Pubblicazioni Carrello Registrazione Perché registrarsi? Contatti

L'esperienza che insegna

Ingestione di magneti

Magnet ingestion

Enrico Valletta1, Martina Fornaro1, Elena Cavargini2, Francesca Destro3, Mario Lima3

1UO di Pediatria, 2UO di Gastroenterologia ed Endoscopia Digestiva, Ospedale G.B. Morgagni - L. Pierantoni, AUSL di Forĺ
3UO di Chirurgia Pediatrica, Università di Bologna

Ottobre 2013 - pagg. 514 -518

Abstract
The article reports the case of an 11-year-old boy who presented with abdominal symptoms following the ingestion of three magnets. The history, the radiologic and endoscopic pictures gave the opportunity for some considerations about the peculiarities of the management of such dangerous foreign bodies. Surgery showed that the three magnets - one in the esophagus and the other two in the gastric fundus - attracted one another just above the esophagogastric junction causing an esophageal pseudodiverticulus. The magnets were removed without any further complication. Some recent statements on the management of ingested magnets are briefly discussed.
Contenuto riservato

Per leggere l'articolo completo è necessario effettuare il login.

Non sei ancora registrato? Registrati

Bibliografia

1. SIGENP-Progetto Airone 2008. Consensus statement sulle urgenze endoscopiche non emorragiche in età pediatrica. L’ingestione di corpi estranei. Ar ea Qualità s.r.l., 2008. 2. Liu S, Li J, Lv Y. Gastrointestinal damage caused by swallowing multiple magnets. Front Med 2012;6:280-7. 3. Dutta S, Barzin A. Multiple magnet ingestion as a source of severe gastrointestinal complications requiring surgical inter vention. Arch Pediatr Adolesc Med 2008;162:123-5. 4. Geor ge AT, Motiwale S. Magnets, children and the bowel: A dangerous attraction? World J Gastroenterol 2012;18:5324-8. 5. Honzumi M, Shigemori C, Ito H, et al. An intestinal fistula in a 3-year-old child caused by the ingestion of magnets: repor t of a case. Surg Today 1995;25:552-3. 6. Hussain SZ, Bousvaros A, Gilger M, et al. Management of ingested magnets in children. J Pediatr Gastroenter ol Nutr 2012;55:239-42. 7. Midgett J, Inkster S, Gilchrist J. Gastrointestinal injuries from magnet ingestion in children- United States, 2003-2006. MMWR Morb Mortal Wkly Rep 2006;55:1296-300. 8. Naji H, Isacson D, Svensson JF, et al. Bowel injuries caused by ingestion of multiple magnets in children: a growing hazard. Pediatr Surg Int 2012;28:367-74. 9. Brown JC, Murray KF, Javid PJ. Hidden attraction: a menacing meal of magnets and batteries. J Emerg Med 2012;43:266-9. 10. Chandra S, Hiremath G, Kim S, et al. Magnet ingestion in children and teenagers: an emerging health concern for pediatricians and pediatric subspecialists. J Pediatr Gastroenterol Nutr 2012;54:828. 11. CPSC Warns High-Powered Magnets and Children Make a Deadly Mix. Release #12- 037. http://www.cpsc.gov/cpscpub/prerel/ prhtml12/12037. html. Published November 2011. 12. European Commission. Keeping European Consumers Safe. 2011 Annual Report on the operation of the Rapid Alert System for non-food dangerous products RAPEX. http: //ec.europa.eu/consumers/safety/rapex/ docs/2011_rapex_report_en.pdf. 13. Sokollik C, Chan KJ, Sherman PM. Ingested magnets: catch or let go? Gastroenterology 2012;142:701-3. 14. Zampieri N, Consolaro G, Ottolenghi A, et al. Unusual diagnosis of multiple magnet ingestion R1. Pediatr Int 2010;52:e14-e16. 15. Schierling S, Snyder SK, Custer M, et al. Magnet ingestion. J Pediatr 2008;152:294. 16. Baines H, Saenz NC, Dory C, et al. Magnet- associated intestinal per foration results in a new institutional policy of ferromagnetic screening prior to MRI. Pediatr Radiol 2012; 42:1506-9.

Corrispondenza: e.valletta@ausl.fo.it