Abstract
Lithobezoar is a very rare clinical condition called stone accumulation in any part of the digestive system secondary to the habit of eating soil, stone and clay. In this article, we aimed to present a case of colonic lithobezoar in a child with geophagia, iron deficiency anemia, and behavioral disorder. A 4-year-old male patient presented with complaints of cramp-like abdominal pain, vomiting and constipation for five days. The patient had a history of soil eating habit (geophagia) for two years. Laboratory tests showed that he had iron deficiency anemia. There was no sign of peritonitis in the abdominal examination, but many irregular masses were palpated. Hard fecalites were also present on rectal examination. Multiple radiopaque masses were detected along the colon tracing on abdominal X-ray. Colon stones were evacuated with a conservative approach by rectal intervention under general anesthesia. After the intervention, the patient was given iron deficiency treatment and psychiatric support. Colonic lithobezoar is a condition that can usually be treated with a conservative approach. Delay in diagnosis may cause intestinal obstruction and/or perforation. It is important to change the eating habits against the possibility of recurrence after the intervention and to get psychiatric support for behavioral problems.
Keywords
References
- 1. Ferhatoğlu MF. Lithobezoar: A case report and literature review of an infrequent cause of abdominal pain. Med Bull Sisli Etfal Hosp. 2019;53(4):445-449.
- 2. Park SE, Ahn JY, Jung HY, Na S, Park SJ, Lim H, et al. Clinical outcomes associated with treatment modalities for gastrointestinal bezoars. Gut Liver. 2014;8:400-407.
- 3. Ozdemir H, Ozdemir ZU, Senol M, et al. Colonic lithobezoar, a rare cause of ileus. Cumhuriyet Med J. 2014;36:101-104.
- 4. Şenol M, Özdemir ZÜ, Şahiner IT, Özdemir H. Intestinal obstruction due to colonic lithobezoar: a case report and a review of the literature. Case Rep Pediatr. 2013;2013:854975.
- 5. Alizai Q, Ullah F, Alam J, Aiman U, Ahmad T. A Rare Case of Asymptomatic Massive Colonic Lithobezoar in a Young Child. Cureus. 2022;14(9):e29538.
- 6. Tokar B, Ozkan R, Ozel A, et al. Giant rectosigmoid lithobezoar in a child: four significant clues obtained from history, abdominal palpation, rectal examination and plain abdominal X-ray. Eur J Radiol. 2004;49(1):23-24.
- 7. Sheikh MS, Hilal RM, Misbha AM, et al. Colorectal lithobezoar: A rare case report. J Indian Assoc Ped Surg. 2010;15(2):62-63.
- 8. Olayinka RI, Abubakar SL, Nuraddeen I et al. Iron-deficieny anemia with lithobezoar (pica): A rare cause of intestinal obstruction in a 5-year-old Nigerian child. Int Med Case Rep J. 2018;11:225-228.
- 9. Aihole JS. Giant colonic lithobezoar: a rare case report. J Indian Assoc Pediatr Surg. 2020;25(2):103-105.
- 10. Abbas TO. An unusual cause gastrointestinal obstruction: Bezoar. Oman Med J. 2016;26:127-128.
Abstract
Lithobezoar, toprak, taş, kil yeme alışkanlığına bağlı olarak sindirim sisteminin herhangi bir yerinde taş birikmesi olarak adlandırılan çok nadir görülen bir klinik tablodur. Bu yazıda, jeofaji, demir eksikliği anemisi ve davranış bozukluğu olan bir çocukta kolonik litobezoar olgusunu sunmayı amaçladık. 4 yaşında erkek hasta beş gündür olan kramp benzeri karın ağrısı, kusma ve kabızlık şikayetleri ile başvurdu. Hastanın iki yıldır toprak yeme alışkanlığı (jeofaji) öyküsü mevcuttu. Laboratuvar testleri demir eksikliği anemisi olduğunu gösterdi. Karın muayenesinde peritonit bulgusu yoktu, ancak çok sayıda düzensiz kitle palpe edildi. Rektal muayenede sert fekalitler de mevcuttu. Karın röntgeninde kolon trasesi boyunca çok sayıda radyoopak kitle saptandı. Kolon taşları genel anestezi altında rektal girişim ile konservatif bir yaklaşımla boşaltıldı. Müdahalenin ardından hastaya demir eksikliği tedavisi ve psikiyatrik destek verildi. Kolonik litobezoar genellikle konservatif yaklaşımla tedavi edilebilen bir durumdur. Teşhiste gecikme bağırsak tıkanıklığına ve/veya perforasyonuna neden olabilir. Müdahale sonrası tekrarlama ihtimaline karşı beslenme alışkanlığının değiştirilmesi ve davranış sorunları için psikiyatrik destek alınması önemlidir.
Keywords
References
- 1. Ferhatoğlu MF. Lithobezoar: A case report and literature review of an infrequent cause of abdominal pain. Med Bull Sisli Etfal Hosp. 2019;53(4):445-449.
- 2. Park SE, Ahn JY, Jung HY, Na S, Park SJ, Lim H, et al. Clinical outcomes associated with treatment modalities for gastrointestinal bezoars. Gut Liver. 2014;8:400-407.
- 3. Ozdemir H, Ozdemir ZU, Senol M, et al. Colonic lithobezoar, a rare cause of ileus. Cumhuriyet Med J. 2014;36:101-104.
- 4. Şenol M, Özdemir ZÜ, Şahiner IT, Özdemir H. Intestinal obstruction due to colonic lithobezoar: a case report and a review of the literature. Case Rep Pediatr. 2013;2013:854975.
- 5. Alizai Q, Ullah F, Alam J, Aiman U, Ahmad T. A Rare Case of Asymptomatic Massive Colonic Lithobezoar in a Young Child. Cureus. 2022;14(9):e29538.
- 6. Tokar B, Ozkan R, Ozel A, et al. Giant rectosigmoid lithobezoar in a child: four significant clues obtained from history, abdominal palpation, rectal examination and plain abdominal X-ray. Eur J Radiol. 2004;49(1):23-24.
- 7. Sheikh MS, Hilal RM, Misbha AM, et al. Colorectal lithobezoar: A rare case report. J Indian Assoc Ped Surg. 2010;15(2):62-63.
- 8. Olayinka RI, Abubakar SL, Nuraddeen I et al. Iron-deficieny anemia with lithobezoar (pica): A rare cause of intestinal obstruction in a 5-year-old Nigerian child. Int Med Case Rep J. 2018;11:225-228.
- 9. Aihole JS. Giant colonic lithobezoar: a rare case report. J Indian Assoc Pediatr Surg. 2020;25(2):103-105.
- 10. Abbas TO. An unusual cause gastrointestinal obstruction: Bezoar. Oman Med J. 2016;26:127-128.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Case Report |
| Authors | |
| Publication Date | April 30, 2024 |
| Submission Date | May 13, 2023 |
| Published in Issue | Year 2024 Volume: 16 Issue: 1 |
