Gastrointestinal tract perforations caused by ingestion of multiple magnets in a dog.

OBJECTIVE To describe a case of gastrointestinal tract perforation, septic peritonitis and coagulopathy caused by ingestion of multiple magnets in a dog. CASE SUMMARY An 8-month-old castrated male Rottweiler, weighing 30.5 kg was presented for evaluation of vomiting and weakness. Abdominal radiography and abdominal ultrasonographic examination identified a metallic foreign object within the gastric lumen, presence of free peritoneal gas, and peritoneal effusion. Septic peritonitis was diagnosed by abdominal fluid analysis. Exploratory celiotomy revealed the presence of an omental abscess, and gastric and colonic perforations. Four magnetic foreign objects were found within the lumen of the perforated stomach. Surgical management including removal of the magnets, abscess debridement and excision, perforation repair, and abdominal drainage combined with intensive medical therapy resulted in complete recovery of this dog. NEW OR UNIQUE INFORMATION PROVIDED This report describes in detail the case management of a dog that developed both gastric and colonic perforations and severe morbidity secondary to ingesting multiple magnets.

[1]  H. Hottinger,et al.  Magnet ingestion in dogs: two cases. , 2010, Journal of the American Animal Hospital Association.

[2]  M. Carpenter,et al.  Evaluation of outcomes in dogs treated for pyothorax: 46 cases (1983-2001). , 2010, Journal of the American Veterinary Medical Association.

[3]  N. Bacon,et al.  Surgical views: Vacuum-assisted wound closure: clinical applications. , 2010, Compendium.

[4]  A. Robinson,et al.  Magnet induced perforated appendicitis and ileo-caecal fistula formation , 2009, The Ulster medical journal.

[5]  A. Oestreich Worldwide survey of damage from swallowing multiple magnets , 2009, Pediatric Radiology.

[6]  D. L. Chan,et al.  Evaluation of use of human albumin in critically ill dogs: 73 cases (2003-2006). , 2008, Journal of the American Veterinary Medical Association.

[7]  S. Dutta,et al.  Multiple magnet ingestion as a source of severe gastrointestinal complications requiring surgical intervention. , 2008, Archives of pediatrics & adolescent medicine.

[8]  S. Kozek-Langenecker,et al.  Effects of hydroxyethyl starches on hemostasis , 2007 .

[9]  S. Milla,et al.  Ingestion of magnetic foreign bodies causing multiple bowel perforations , 2007, Pediatric Radiology.

[10]  A. Mohamadnia,et al.  Effect of Heparin in Prevention of Experimental Abdominal Adhesions in Rat , 2007 .

[11]  K. Lahmers,et al.  Adverse reactions suggestive of type III hypersensitivity in six healthy dogs given human albumin. , 2007, Journal of the American Veterinary Medical Association.

[12]  Gastrointestinal injuries from magnet ingestion in children--United States, 2003-2006. , 2006, MMWR. Morbidity and mortality weekly report.

[13]  M. Kusunoki,et al.  Ingestion of multiple magnets: hazardous foreign bodies for children , 2006, Pediatric Radiology.

[14]  D. C. Brown,et al.  Outcome of and prognostic indicators for dogs and cats with pneumoperitoneum and no history of penetrating trauma: 54 cases (1988-2002). , 2004, Journal of the American Veterinary Medical Association.

[15]  P. Mueller,et al.  Prevention and treatment of gastrointestinal adhesions. , 2003, The Veterinary clinics of North America. Equine practice.

[16]  K. Tobias,et al.  Pneumoperitoneum in dogs and cats: 39 cases (1983-2002). , 2003, Journal of the American Veterinary Medical Association.

[17]  C. Jessen,et al.  Risk factors for leakage following intestinal anastomosis in dogs and cats: 115 cases (1991-2000). , 2003, Journal of the American Veterinary Medical Association.

[18]  J. Snyder,et al.  Use of an active intra-abdominal drain in 67 horses. , 2003, Veterinary surgery : VS.

[19]  R. Shawis,et al.  Multiple magnet ingestion and gastrointestinal morbidity , 2002, Archives of disease in childhood.

[20]  S. Weisbrode,et al.  Spontaneous gastroduodenal perforation in 16 dogs and seven cats (1982-1999). , 2002, Journal of the American Animal Hospital Association.

[21]  E. Monnet,et al.  Open peritoneal drainage versus primary closure for the treatment of septic peritonitis in dogs and cats: 42 cases (1993-1999). , 2002, Veterinary surgery : VS.

[22]  O. Lanz,et al.  Surgical treatment of septic peritonitis without abdominal drainage in 28 dogs. , 2001, Journal of the American Animal Hospital Association.

[23]  G. Ginsberg,et al.  Stent placement of gastroenteric anastomoses formed by magnetic compression. , 1999, Journal of vascular and interventional radiology : JVIR.

[24]  B. Berridge,et al.  Evaluation of postoperative peritoneal lavage in standing horses for prevention of experimentally induced abdominal adhesions. , 1998, Veterinary surgery : VS.

[25]  R. Simmons,et al.  Heparin in the Treatment of Experimental Peritonitis , 1978, Annals of surgery.