Детская хирургия. Журнал им. Ю.Ф. Исакова. 2022; 26: 291-294
Аппендикулярно-интестинальная фистула, вызванная магнитными инородными телами, у ребёнка 2 лет
https://doi.org/10.55308/1560-9510-2022-26-5-291-294Аннотация
КОММЕНТАРИЙ РЕДАКЦИИ. Диагностика сцепленных агрессивных инородных тел (магнитные шарики) желудочно-кишечного тракта требует экстренных мероприятий для уточнения их локализации и удаления. Консервативная наблюдательная тактика в течение 4-х суток, представленная в наблюдении, не должна применяться.
Введение. Внутренние свищи при инородных телах пищеварительного тракта крайне редкое осложнение.
Цель - описание редкого случая формирования свища между червеобразным отростком и подвздошной кишкой магнитными инородными телами.
Клиническое наблюдение. Ребёнок, 2 года, со слов родителей проглотил магнитные шарики, клинических проявлений не было отмечено. При обзорной рентгенографии через 3 суток после проглатывания были выявлены инородные тела (3) в правом нижнем квадранте живота. При колоноскопии инородные тела не были обнаружены. При лапароскопии выявлен свищ между червеобразным отростком и терминальным отделом подвздошной кишки. Выполнили разъединение свища, аппендэктомию, ушивание свищевого отверстия подвздошной кишки.
Заключение. Одним из осложнений проглатывания магнитных инородных тел может быть формирование внутренних кишечных фистул. В нашем наблюдении свищ был между червеобразным отростком и подвздошной кишкой, в литературе подобных наблюдений мы не нашли.
Список литературы
1. Wyllie R. Foreign bodies in the gastrointestinal tract. Curr Opin Pediatr. 2006; 18(5): 563.
2. Uyemura M.C. Foreign body ingection in children. Am Fam Physician. 2005 Jul 15; 72(2): 287-91.
3. Yagmur Y., Ozturk H. Distal ileal perforation secondary to ingested foreign bodies. J Coll Physicians Surg Pak. 2009 Jul; 19(7): 452-3. PMID: 19576157
4. Centers for Disease Control and Prevention (CDC). Gastrointestinal injuries from magnet ingestion in children - United States, 2003-2006. MMWR Morb Mortal Wkly Rep. 2006 Dec 8; 55(48): 1296-300. PMID: 17159831
5. Dutta S., Barzin A. Multiple magnet ingestions a source of severe gastrointestinal complication requiring surgical intervention. Arch Pediatr Adolesc Med. 2008; 162(2): 123-5. https://doi.org/10.1001/archpediatrics.2007.35
6. Salomon S., Clancen C.H., Holleguard S., Mahdi B., Qvist N. Tarmperforation efter indtagelse af magnetisk leget0j [Perforation of the intestine after ingestion of magnetic items]. Ugeskr Laeger. 2007 Dec 3; 169(49): 4239-40. Danish. PMID: 18208695.
7. Hussain S.Z., Bousvaros A., Gilger M. , Mamula P., Gupta S., Kramer R., Noel R.A. Management of ingested magnets in children. Journal of Pediatric Gastroenterology and Nutrition. 2012 Sep; 55(3): 239-42. https://doi.org/10.1097/MPG.0b013e3182687be0
8. Lambropoulos V., Fotoulaki M., Kepertis Ch., Neofytou A., Spyridakis I. An unusual foreign body within the appendix. Med J Malayasia. 2016 Oct; 71(5): 298-9. PMID: 28064301.
9. Korkmaz M., Yazgan H., Korkmaz F., Etlik O. Metallic foreign body lodged within the appendix of 11-months-old girl case report and review of the literature. Kocatepe Tip Dergisi. 2014; 15(2): 168-70.
10. Klingler P.J., Seeling M.H., DeVault K.R., Wetscher G.J., Floch N.R., Branton S.A., Hinder R.A. Ingested foreign bodies within the appendix: A 100-year review of literature. Dig Dis. 1998 Sep-Oct; 16(5): 308-14. https://doi.org/10.1159/000016880
11. Green S.M., Schmidt S.P., Rothrock S.G. Delayed appendicitis from an ingested foreign body. Am J Emerg Med. 1994 Jan; 12(1): 53-6. https://doi.org/10.1016/0735-6757(94)90199-6
12. Collins D.C. 71000 human appendix specimens: a final report, summarizing forty years study. Am J Proctol. 1963; (14): 365-81.
13. Sinha D.D., Sharma C., Gupta V., Chaturvedi V. Sewing needle appendicitis in a child. Indian J Gastroenterol. 2004 Nov-Dec; 23(6): 219-20. PMID: 15627662.
14. Bertozzi M., Nardi N., Falcone F., Prestipino M., Appignani A. An unusual case of a symptomatic appendicular cutting foreign body. Pediatr Med Chir. 2010; Sep-Oct; 32(5): 223-5. PMID: 21171522.
15. Sukhotnik I., Klin B., Siplovich L. Foreign-body appendicitis. J Pediatr Surg. 1995 Oct; 30(10): 1515-6. https://doi.org/10.1016/0022-3468(95)90427-1
16. Ekingen G., Guvenc B.H., Senel U., Korkmaz M. Fluoroscopy-guided laparoscopy in the management of intraabdominal foreign body. J Pediatr Surg. 2003 Sep; 38(9): E19-20. https://doi.org/10.1016/s0022-3468(03)00420-2
17. Robinson A.J., Bingham J., Thompson R.L. Magnet induced perforated appendicitis and ileo-caecal fistula formation. Ulster Med J. 2009 Jan; 78(1): 4-6. PMID: 19252721; PMCID: PMC2629011.
18. Pilichos C., Tasias G., Pyleris E., Anyfantis N., Pantelaros N., Barbatzas C. Endoscopic extraction of a metal key impacted within the appendix. World J Gastrointest Endosc. 2010 Nov 16; 2(11): 372-4. https://doi.org/10.4253/wjge.v2.i11.372
19. Tanaka K., Toyoda H, Aoki M., Noda T., Aota T. An incarcerated prosthetic tooth in the vermiform appendix. Gastrointest Endosc. 2007 Aug; 66(2): 400-1. https://doi.org/10.1016/j.gie.2007.01.023
Russian Journal of Pediatric Surgery. 2022; 26: 291-294
Appendicular-intestinal fistula caused by magnetic foreign bodies in a 2-year-old child
https://doi.org/10.55308/1560-9510-2022-26-5-291-294Abstract
EDITORIAL COMMENT. Gripped aggressive foreign bodies (magnetic balls) in the gastrointestinal tract require emergency actions to clarify their localization and to remove them. The conservative approach with four-day observation described in the article should not be used.
Introduction. Internal fistulas in foreign bodies of the digestive tract is a very rare complication.
This publication is aimed to describe a rare case of fistula formation between the vermiform process and the ileum caused by magnetic foreign bodies.
Clinical observation. As his parents said, a 2-year-old child swallowed magnetic balls; no clinical manifestations were noted. Plain radiography 3 days after the ingestion revealed foreign bodies (3) in the right lower quadrant of the abdomen. No foreign bodies were found on colonoscopy. Laparoscopy revealed a fistula between the appendix and the terminal ileum. The following steps were made: disconnection of fistula, appendectomy, suturing of fistula opening in the ileum.
Conclusion. One of the complications after swallowing magnetic foreign bodies may be formation of internal intestinal fistulas. In our observation, the fistula was between the appendix and the ileum. No similar observations were found in literature.
References
1. Wyllie R. Foreign bodies in the gastrointestinal tract. Curr Opin Pediatr. 2006; 18(5): 563.
2. Uyemura M.C. Foreign body ingection in children. Am Fam Physician. 2005 Jul 15; 72(2): 287-91.
3. Yagmur Y., Ozturk H. Distal ileal perforation secondary to ingested foreign bodies. J Coll Physicians Surg Pak. 2009 Jul; 19(7): 452-3. PMID: 19576157
4. Centers for Disease Control and Prevention (CDC). Gastrointestinal injuries from magnet ingestion in children - United States, 2003-2006. MMWR Morb Mortal Wkly Rep. 2006 Dec 8; 55(48): 1296-300. PMID: 17159831
5. Dutta S., Barzin A. Multiple magnet ingestions a source of severe gastrointestinal complication requiring surgical intervention. Arch Pediatr Adolesc Med. 2008; 162(2): 123-5. https://doi.org/10.1001/archpediatrics.2007.35
6. Salomon S., Clancen C.H., Holleguard S., Mahdi B., Qvist N. Tarmperforation efter indtagelse af magnetisk leget0j [Perforation of the intestine after ingestion of magnetic items]. Ugeskr Laeger. 2007 Dec 3; 169(49): 4239-40. Danish. PMID: 18208695.
7. Hussain S.Z., Bousvaros A., Gilger M. , Mamula P., Gupta S., Kramer R., Noel R.A. Management of ingested magnets in children. Journal of Pediatric Gastroenterology and Nutrition. 2012 Sep; 55(3): 239-42. https://doi.org/10.1097/MPG.0b013e3182687be0
8. Lambropoulos V., Fotoulaki M., Kepertis Ch., Neofytou A., Spyridakis I. An unusual foreign body within the appendix. Med J Malayasia. 2016 Oct; 71(5): 298-9. PMID: 28064301.
9. Korkmaz M., Yazgan H., Korkmaz F., Etlik O. Metallic foreign body lodged within the appendix of 11-months-old girl case report and review of the literature. Kocatepe Tip Dergisi. 2014; 15(2): 168-70.
10. Klingler P.J., Seeling M.H., DeVault K.R., Wetscher G.J., Floch N.R., Branton S.A., Hinder R.A. Ingested foreign bodies within the appendix: A 100-year review of literature. Dig Dis. 1998 Sep-Oct; 16(5): 308-14. https://doi.org/10.1159/000016880
11. Green S.M., Schmidt S.P., Rothrock S.G. Delayed appendicitis from an ingested foreign body. Am J Emerg Med. 1994 Jan; 12(1): 53-6. https://doi.org/10.1016/0735-6757(94)90199-6
12. Collins D.C. 71000 human appendix specimens: a final report, summarizing forty years study. Am J Proctol. 1963; (14): 365-81.
13. Sinha D.D., Sharma C., Gupta V., Chaturvedi V. Sewing needle appendicitis in a child. Indian J Gastroenterol. 2004 Nov-Dec; 23(6): 219-20. PMID: 15627662.
14. Bertozzi M., Nardi N., Falcone F., Prestipino M., Appignani A. An unusual case of a symptomatic appendicular cutting foreign body. Pediatr Med Chir. 2010; Sep-Oct; 32(5): 223-5. PMID: 21171522.
15. Sukhotnik I., Klin B., Siplovich L. Foreign-body appendicitis. J Pediatr Surg. 1995 Oct; 30(10): 1515-6. https://doi.org/10.1016/0022-3468(95)90427-1
16. Ekingen G., Guvenc B.H., Senel U., Korkmaz M. Fluoroscopy-guided laparoscopy in the management of intraabdominal foreign body. J Pediatr Surg. 2003 Sep; 38(9): E19-20. https://doi.org/10.1016/s0022-3468(03)00420-2
17. Robinson A.J., Bingham J., Thompson R.L. Magnet induced perforated appendicitis and ileo-caecal fistula formation. Ulster Med J. 2009 Jan; 78(1): 4-6. PMID: 19252721; PMCID: PMC2629011.
18. Pilichos C., Tasias G., Pyleris E., Anyfantis N., Pantelaros N., Barbatzas C. Endoscopic extraction of a metal key impacted within the appendix. World J Gastrointest Endosc. 2010 Nov 16; 2(11): 372-4. https://doi.org/10.4253/wjge.v2.i11.372
19. Tanaka K., Toyoda H, Aoki M., Noda T., Aota T. An incarcerated prosthetic tooth in the vermiform appendix. Gastrointest Endosc. 2007 Aug; 66(2): 400-1. https://doi.org/10.1016/j.gie.2007.01.023
