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Children swallow 5 magnetic marbles

At 2:30 p.m. on June 9, 2022, the City Children’s Hospital received a case of Ch. GH is 6 years old, female, lives in District 11, Ho Chi Minh City, in a state of restlessness, discomfort, abdominal pain, vomiting. Taking the medical history recorded 2 hours before being admitted to the hospital, he was playing at the kindergarten, his classmate gave him 5 magnetic marbles to play, he hid it from the teacher by putting it in his mouth to plan When I went out to take it out, I accidentally swallowed it in my stomach (stomach), I felt uncomfortable, my stomach hurt, so I told the nanny teacher, informed the mother’s family to pick up the baby and take him to the City Children’s Hospital.

Here, the child showed abdominal pain, vomiting, panicked face, was assisted with breathing and oxygen, and the abdominal X-ray was not prepared to detect foreign bodies in the small intestine, so they should be consulted with specialists in gastroenterology, coordination In collaboration with the surgeons, perform emergency gastrointestinal endoscopy and laparoscopy, push the foreign body from the small intestine to the stomach for the gastroenterologist to pick up 5 conjoined magnetic balls. Results after endoscopic foreign body removal, the child no longer had abdominal pain, no vomiting, was awake, continued to monitor damage to the intestinal mucosa as well as gastrointestinal function.

Through taking a closer look at the history, we noticed that the children had “strange toys” to carry in their briefcases to show off to friends, and even “gift” to each other, so parents, preschool teachers, and nannies very attentive. Fortunately, children also know that they have swallowed a foreign object, notify the teacher early and be taken to the hospital for timely treatment, otherwise the marbles will cause damage to the intestinal mucosa, perforation of the marbles. “breathing each other” causes twisting of intestinal loops, causing intestinal obstruction … dangerous for children’s lives.

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X-ray image of the abdomen without preparation shows that the magnetic balls,
X-ray image of the abdomen without preparation shows that the magnetic balls, “running” down the small intestine, are combined with laparoscopy to bring the foreign body to the stomach and endoscopically remove it.
After endoscopic foreign body removal, the child was continued to be monitored in the surgical department for the risk of perforation, intestinal obstruction, infection,...
After endoscopic foreign body removal, the child was continued to be monitored in the surgical department for the risk of perforation, intestinal obstruction, infection, etc.

Doctor of CK2 Nguyen Minh Tien
City Children’s Hospital

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