Article ID Journal Published Year Pages File Type
4161440 Journal of Pediatric Surgery Case Reports 2015 4 Pages PDF
Abstract

•Bezoars classically occur in young females with psychiatric disturbances.•Major constituents are hair or vegetable fibers but other materials can contribute.•Stercoral perforations, often associated with constipation, may result from bezoars.•Pica will rarely be volunteered by a patient or family.•A broad differential is required to thoroughly evaluate pediatric abdominal pain.

Bezoars are accretions of indigestible material that develop within the gastrointestinal tract and occur with relative infrequency. Rarer yet, stercoral perforations of the colon (SPC) result from pressure-induced ischemia and are nearly universally associated with chronic constipation. We report only the second recorded case of a bezoar-related stercoral perforation of the colon, the first to result from ingestion of cloth, and the first in a pediatric patient.

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Health Sciences Medicine and Dentistry Perinatology, Pediatrics and Child Health
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