Table 1 Demographic, clinical, imaging, management, and outcome data for 13 cases
case# | age | sex | medical background | time from ingestion | symptoms | suspected initial location | imaging | intervention | final findings | LOS (d) | complications |
|---|---|---|---|---|---|---|---|---|---|---|---|
1 | 10y | f | none | unknown | Consistent with suspected appendicitis | unknown | US, intraoperative fluoroscopy | lap converted to open appendectomy, suturing of deserozations | magnets in distal ileum and cecum, serosal tears | 5 | none |
2 | 1y 9 m | m | none | 3 weeks | Incidental findings in CXR (performed d/t fever and cough) | stomach | Abdominal film, CT | Failed gastroscopy; Lap converted to laparotomy, repair of perforations | magnetic gastro-jejunal fistula | 8 | none |
3 | 8y | f | none | 1.5 h | asymptomatic | stomach | abdominal film | failed gastroscopy; lap assisted jejunal enterotomy | magnets stuck in jejunum | 7 | none |
4 | 9y | f | none | 4 h | asymptomatic | stomach | abdominal films | Failed gastroscopy; Coloprep and colonoscopic evacuation | magnets in sigmoid | 3 | none |
5 | 11y | f | none | 1.5 h | asymptomatic | stomach | abdominal film | gastroscopy | magnets in stomach | 1 | none |
6 | 16y | f | psychiatric | unknown | asymptomatic | small bowel | abdominal films, CT | lap assisted appendectomy | magnets in cecum | 3 | none |
initiation of full ECSLA protocol | |||||||||||
7 | 16y | f | psychiatric, rec ingestion | unknown | asymptomatic | stomach | abdominal films, CT | failed gastroscopy, ECSLA, colonoscopic evacuation | magnets in cecum | 2 | none |
8 | 15y | f | none | 1.5 h | asymptomatic | small bowel | abdominal films | ECSLA, magnets passed PR | magnets passed PR | 1 | none |
9 | 9y | m | none | 2 h | asymptomatic | duodenum | abdominal films, CT | failed gastroscopy; ECSLA, colonoscopic evacuation | magnets in cecum | 2 | none |
10 | 9y | f | none | 3 h | asymptomatic | stomach | abdominal film | gastroscopy | magnets in stomach | 1 | none |
11 | 9y | m | none | 1 h | asymptomatic | stomach | abdominal film | gastroscopy | Magnets in duodenum | 1 | none |
12 | 6y | m | none | 1 h | asymptomatic | small bowel | abdominal film | ECSLA, magnets passed PR | magnets passed PR | 2 | none |
13 | 14y | m | none | 1 h | asymptomatic | small bowel | abdominal film, CT | ECSLA, colonoscopic evacuation | magnets in cecum | 3 | none |