A young child with massive gastrointestinal lithobezoar

Hamza Khan 1, *, Raz Muhammad 1 and Shah E Ramzan 2

1 Department of General Surgery, Bacha Khan Medical Complex Swabi, Pakistan.
2 Department of Community Medicine, Gajju Khan Medical College Swabi, Pakistan.
Case Study
World Journal of Advanced Research and Reviews, 2024, 22(03), 1945–1949
Article DOI: 10.30574/wjarr.2024.22.3.1913
Publication history: 
Received on 16 May 2024; revised on 26 June 2024; accepted on 28 June 2024
Gastrointestinal lithobezoar is a rare condition in which there is the formation of foreign body concretions in the gastrointestinal tract, and such type of patients usually present with the signs and symptoms of intestinal obstruction. We present a rare case of 6 years old female patient incidentally diagnosed with massive gastrointestinal lithobezoar. Colonic lithobezoar usually occurs in the condition called Pica in which there is iron deficiency anemia. Rare number of such cases have been reported till date and such type of patients should be managed conservatively until and unless there is any compelling indication for exploration. All such type of patients should be managed in hospital with kleen enema, parenteral fluids and laxatives and need hematological and psychiatric consultation. In our case as well, the patient was managed conservatively with kleen enema, parenteral fluids and laxatives leading to significant improvement both clinically and radiologically.
Gastrointestinal lithobezoar; Pica; lithobezoar; Massive gastrointestinal lithobezoar
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