Complications of Bezoar in Children: What Is New?

A bezoar is a mass found trapped in the gastrointestinal system. The condition may be associated with pica, especially in developmentally retarded children. Clinical manifestations are usually nonspecific. Endoscopic diagnosis and removal of the foreign materials is often indicated. Occasionally, se...

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Main Authors: Kam Lun Ellis Hon, Jean Cheng, Chung Mo Chow, Hon Ming Cheung, Kam Lau Cheung, Yuk Him Tam, Alexander K. C. Leung
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2013/523569
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author Kam Lun Ellis Hon
Jean Cheng
Chung Mo Chow
Hon Ming Cheung
Kam Lau Cheung
Yuk Him Tam
Alexander K. C. Leung
author_facet Kam Lun Ellis Hon
Jean Cheng
Chung Mo Chow
Hon Ming Cheung
Kam Lau Cheung
Yuk Him Tam
Alexander K. C. Leung
author_sort Kam Lun Ellis Hon
collection DOAJ
description A bezoar is a mass found trapped in the gastrointestinal system. The condition may be associated with pica, especially in developmentally retarded children. Clinical manifestations are usually nonspecific. Endoscopic diagnosis and removal of the foreign materials is often indicated. Occasionally, severe complications may occur. We report two cases to illustrate the clinical features and complications in these children. In the first case, a reliable history was not obtained in the developmentally delayed girl which precluded prompt diagnosis, but the grossly dilated stomach on plain abdominal radiograph gave clues to an underlying insidious mechanical obstruction of upper gastrointestinal tract. In the second case of a normal child, the unrelenting symptoms and weight loss prompt further investigations which revealed the diagnosis. Literature on pediatric bezoar is reviewed. Oesophagoduodenoscopy is the investigation of choice for diagnostic confirmation, but surgical facilities must be available to deal with acute complications.
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institution Kabale University
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series Case Reports in Pediatrics
spelling doaj-art-b52824abaa734b64a07acfe1668a54182025-02-03T01:11:46ZengWileyCase Reports in Pediatrics2090-68032090-68112013-01-01201310.1155/2013/523569523569Complications of Bezoar in Children: What Is New?Kam Lun Ellis Hon0Jean Cheng1Chung Mo Chow2Hon Ming Cheung3Kam Lau Cheung4Yuk Him Tam5Alexander K. C. Leung6Prince of Wales Hospital, Shatin, Hong KongPrince of Wales Hospital, Shatin, Hong KongPrince of Wales Hospital, Shatin, Hong KongPrince of Wales Hospital, Shatin, Hong KongPrince of Wales Hospital, Shatin, Hong KongPrince of Wales Hospital, Shatin, Hong KongThe University of Calgary, Alberta Children’s Hospital, Calgary, Alberta, CanadaA bezoar is a mass found trapped in the gastrointestinal system. The condition may be associated with pica, especially in developmentally retarded children. Clinical manifestations are usually nonspecific. Endoscopic diagnosis and removal of the foreign materials is often indicated. Occasionally, severe complications may occur. We report two cases to illustrate the clinical features and complications in these children. In the first case, a reliable history was not obtained in the developmentally delayed girl which precluded prompt diagnosis, but the grossly dilated stomach on plain abdominal radiograph gave clues to an underlying insidious mechanical obstruction of upper gastrointestinal tract. In the second case of a normal child, the unrelenting symptoms and weight loss prompt further investigations which revealed the diagnosis. Literature on pediatric bezoar is reviewed. Oesophagoduodenoscopy is the investigation of choice for diagnostic confirmation, but surgical facilities must be available to deal with acute complications.http://dx.doi.org/10.1155/2013/523569
spellingShingle Kam Lun Ellis Hon
Jean Cheng
Chung Mo Chow
Hon Ming Cheung
Kam Lau Cheung
Yuk Him Tam
Alexander K. C. Leung
Complications of Bezoar in Children: What Is New?
Case Reports in Pediatrics
title Complications of Bezoar in Children: What Is New?
title_full Complications of Bezoar in Children: What Is New?
title_fullStr Complications of Bezoar in Children: What Is New?
title_full_unstemmed Complications of Bezoar in Children: What Is New?
title_short Complications of Bezoar in Children: What Is New?
title_sort complications of bezoar in children what is new
url http://dx.doi.org/10.1155/2013/523569
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