Foam bezoar: resection of perforated terminal ileum in a 17-year-old with sickle β+ thalassemia and pica

Altepeter, Tara; Meller, Janet L.

doi:10.1016/j.jpedsurg.2011.04.017

Cited by 11 publications

(4 citation statements)

References 5 publications

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“…9 Although rare, gastric or intestinal bezoars resulting from ingestion of hair or foam can be lifethreatening. [10][11][12] While taking the history of a child with SCD and abdominal pain, one must remember to ask about eating nonfood items. If the response is positive, consider imaging of the abdomen.…”

Section: Hepatic Sequestrationmentioning

confidence: 99%

Abdominal Pain in Children With Sickle Cell Disease

Rhodes

Bates

Andrews

et al. 2014

Journal of Clinical Gastroenterology

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The differential diagnosis of abdominal pain is broad in any child, and further complicated in children with sickle cell disease (SCD). Acute causes of abdominal pain may require emergent surgery, such as for appendicitis or obstruction caused by a bezoar. Rapid intervention is necessary and life-saving in children with SCD and acute splenic or hepatic sequestration. The majority of children with SCD presenting to the physician's office or emergency department will have subacute reasons for their abdominal pain, including but not limited to constipation, urinary tract infection, peptic ulcer disease, and cholecystitis. Vaso-occlusive pain often presents in children as abdominal pain, but is a diagnosis of exclusion. The case of a 10-year-old girl with intermittent abdominal pain is used as a starting point to review the pathophysiology, diagnosis, and treatment of the most acute and common causes of abdominal pain in children with SCD.

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Section: Hepatic Sequestrationmentioning

confidence: 99%

Abdominal Pain in Children With Sickle Cell Disease

Rhodes

Bates

Andrews

et al. 2014

Journal of Clinical Gastroenterology

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“…Other reported medical complications affect the gastrointestinal tract and include bezoar formation. 24…”

Section: Medical Complicationsmentioning

confidence: 99%

Pica and Rumination Disorder in DSM-5

Hartmann¹,

Becker²,

Hampton³

et al. 2012

Psychiatric Annals

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T he major proposed change for both pica and rumination disorder in the Diagnostic and Statistical Manual for Mental Disorders, Fifth Edition is their relocation from their current section, titled "Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence," 1 to the newly proposed section, "Feeding and Eating Disorders." 2 This change emphasizes that these disorders occur across the age range, including adulthood. Also, specifiers for severity and course have been suggested for each of these disorders, in keeping with DSM-5 format. Additional minor, but noteworthy, changes in phrasing that clarify ascertainment of diagnostic criteria are summarized in this paper. PICA Proposed Diagnostic Criteria for Pica The sine qua non of pica is the recurring ingestion of nonnutritive substances. 1 Changes to phrasing of diagnostic criteria in DSM-5 are intended to guide clinicians in distinguishing eating

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“…The CT density of the FEP reflects the summation of the CT density of PU foam, water, and gas as a result of the partial volume effect. [3,5,7,8] …”

Section: Discussionmentioning

confidence: 99%

A computed tomography phantom study of foam earplugs

et al. 2016

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Ingestion of a foreign body is common among children. However, ingestion of foam earplugs (FEPs) has not been reported previously. A 7-month-old female infant presented with small bowel obstruction, which was finally proved to be a case of FEP ingestion.Computed tomography (CT) phantom study was performed to examine the imaging features of FEPs. We studied the following dry and fully wet FEPs, FEPs squeezed in pure water to varying degrees, and FEPs with different degrees of compression in the dry and wet states from day 0 to 6 and all scanned with a CT scanner.The density of a dry FEP is −843.5 ± 4.5 Hounsfield units (HU) and it increases to 0.76 ± 9.3 HU when fully wet. The densities of FEPs ranged from −844.2 to 1.0 HU with different water/air ratios, and some showed a heterogeneous geographic pattern. The densities of FEPs increase due to compression and gradual water absorption.FEPs can be potentially hazardous objects to children. Owing to the special foam structure of the FEP, it can mimic a fatty lesion if the density ranges from −100 to −50 HU; moreover, it can hide in the water if fully wet. However, it should not be mistaken as air, as the density of a dry FEP is −843.5 HU, and the contour can be observed if the window level is set appropriately. Because of its soft texture, the surgeon should be careful not to miss an FEP during the operation. Moreover, radiologists should be familiar with the CT features of FEPs so that they can be identified before surgery.

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Foam bezoar: resection of perforated terminal ileum in a 17-year-old with sickle β+ thalassemia and pica

Cited by 11 publications

References 5 publications

Abdominal Pain in Children With Sickle Cell Disease

Abdominal Pain in Children With Sickle Cell Disease

Pica and Rumination Disorder in DSM-5

A computed tomography phantom study of foam earplugs

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