Toy magnet ingestion in children: revising the algorithm
Section snippets
Case
A 3-year-old boy presented to the emergency department with a 24-hour history of abdominal pain and nonbilious vomiting. At that time, he was not ill-appearing and was afebrile. An abdominal radiograph was obtained demonstrating multiple mildly distended loops of small bowel and a rod-like object that appeared intraluminal (Fig. 1).
His mother, at that time, immediately recognized the object as a magnetic stick from his magnetic toy construction set. He was subsequently admitted for observation
Discussion
The incidence of foreign body ingestion is more than 100,000 patients annually in the United States alone [20]. More than 80% of these occur in the pediatric population with 98% percent of these being accidental. Endoscopic retrieval is required in 10% to 20% of foreign bodies ingested owing to obstruction or failure of the object to pass through the esophagus, pylorus, or duodenal sweep. The vast majority of objects that reach the stomach will pass through the gastrointestinal tract
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