Appendicular-intestinal fistula caused by magnetic foreign bodies in a 2-year-old child



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Abstract

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.

About the authors

V. M. Timerbulatov

Bashkir State Medical University

Email: fake@neicon.ru
ORCID iD: 0000-0003-1696-3146

450008, Ufa

Russian Federation

R. B. Sagitov

Bashkir State Medical University

Email: fake@neicon.ru

450008, Ufa

Russian Federation

Sh. V. Timerbulatov

Bashkir State Medical University

Author for correspondence.
Email: timersh@yandex.ru

Shamil V. Timerbulatov - department of surgery with the course of endoscopy. Bashkir State Medical University.

450008, Ufa

Russian Federation

I. S. Bykovsky

Bashkir State Medical University

Email: fake@neicon.ru
ORCID iD: 0000-0001-7270-9674

450008, Ufa

Russian Federation

M. V. Timerbulatov

Bashkir State Medical University

Email: fake@neicon.ru
ORCID iD: 0000-0002-6664-1308

450008, Ufa

Russian Federation

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