Multiple magnetic abdominal foreign bodies as a near-fatal type of home trauma requiring surgical interventions – a 5-year single-center observation

<b>Introduction:</b> Ingestion of magnetic foreign bodies (MFBs), especially high-powered neodymium magnets, is an increasing cause of paediatric emergency visits. These magnets can lead to severe gastrointestinal injuries requiring surgical intervention.<b>Aim:</b> This study presents own experience of children admitted with multiple MFB ingestions and evaluates their long-term outcomes, including quality of life (QoL).<b>Material and methods:</b> We retrospectively analysed cases of children admitted for multiple MFB ingestion to the University Children's Hospital in Cracow from 2020 to 2024. Patients with single MFBs were excluded. QoL was assessed using a modified version of the RAND SF-36 questionnaire. Results were compared between patients treated endoscopically and surgically. Additionally, the impact of a media awareness campaign initiated in 2021 was evaluated.<b>Results:</b> Fifteen children met the inclusion criteria; ten required surgical intervention, while five were treated successfully via endoscopy. Following the 2021 media campaign, the number of admissions decreased. QoL analysis showed better outcomes in the endoscopy group, particularly in physical and social functioning and pain. Statistically significant differences were found in emotional well-being between groups. One patient died due to unrelated causes and was excluded from the QoL survey.<b>Conclusions:</b> Prompt removal of multiple MFBs seems essential to prevent serious complications. Public education is key to early recognition and safer outcomes. Minimally invasive methods improve QoL and should be used when possible.<b>Significance for the field:</b> Rising admissions of patients with MFB ingestions need direct prevention actions and more awareness from the carekeepers.