ТРОМБОЗ ВЕРХНЕЙ БРЫЖЕЕЧНОЙ И БЕДРЕННОЙ АРТЕРИЙ У РЕБЕНКА С МАГНИТНЫМИ ИНОРОДНЫМИ ТЕЛАМИ

Abstract

The article presents a case description of a 1.9-year-old girl who was admitted on an emergency basis with a clinical picture of peritonitis due to the intake of magnetic foreign bodies. During the operation, fistulas were found between the intestinal loops and intestinal perforations, which were divided and sutured. On the 3rd postoperative day, against the background of the development of infectious complications, symptoms of multiple organ failure were manifested. Contrast-enhanced computed tomography revealed thrombosis of the superior mesenteric and right femoral arteries. Relaparotomy wаs performed – subtotal resection of the small intestine with preservation of the ileocecal angle and fasciotomy of the leg muscles. Positive dynamics was achieved in the postoperative period. The patient was transferred to a specialized medical institution for the treatment of children with short bowel syndrome. In the follow-up observation after 1.5 years, against the background of complex therapy, there was an increase in body weight by 2.8 kg and in height by 4 cm. Independent enteral feeding with restrictions on the use of lipids and carbohydrates was commenced. Parenteral nutrition continues up to 12 hours a day with a tendency to reduce the volume of the parenteral component. Chair was 2 times a day, mushy. The child moves independently, leads an active lifestyle. Conclusion: an analysis of the causes that led to the occurrence of complications atypical for magnetic foreign bodies was carried out. In the domestic and foreign literature, we did not find such complications, which served as the basis for the publication of a clinical observation.