Abstract

The purpose of the study. To describe a clinical case of sepsis in a child due to accidental ingestion of magnetic objects.Materials and methods. Medical records of a 3-year-old patient were analyzed. Clinical presentation of diffuse purulent peritonitis was found at admission. Sepsis was diagnosed according to age-specific criteria, laboratory test findings, evidence of infection and organ dysfunction.Results. During the surgery, diffuse fecal peritonitis was found, which had been caused by 9 unidentified magnetic foreign objects found in the intestinal lumen. The postoperative period had a severe course accompanied by developing cardiovascular, respiratory, and intestinal multiple organ failure..Conclusion. In young children, foreign magnetic bodies can damage the gastrointestinal tract.

Highlights

  • Mostly young children, often swallow accidentally various objects comprizing the foreign bodies of the gastrointestinal tract [1,2,3,4]

  • Two or more swallowed magnetic objects move along the gastrointestinal tract at different speeds, and actively interact with each other [5, 6, 8, 13]

  • Collective decision: appendicitis complicated by diffuse peritonitis; preoperative preparation for 2—3 hours and subsequent surgical treatment were indicated

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Summary

Introduction

Mostly young children, often swallow accidentally various objects comprizing the foreign bodies of the gastrointestinal tract [1,2,3,4]. Two or more swallowed magnetic objects move along the gastrointestinal tract at different speeds, and actively interact with each other [5, 6, 8, 13]. Данная ситуация через неопределенное время вызывает повреждение стенки кишечника с возникновением неспецифических симптомов, в результате чего происходят различного рода осложнения: перфорация кишечной стенки, непроходимость кишечника, кровотечение, кишечные свищи и соустья, перитонит [1,2,3,4,5, 7, 8, 10,11,12].

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