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Hair-cotton threads bezoar in two years child
Priyanka Sethi1, Shobha Ujawal1
1Department of Anaesthesia and Critical Care, SNMC, Jodhpur, Rajasthan, India.
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|December 19, 2014
Summary
A rare pediatric case of intestinal obstruction caused by a phytobezoar containing cotton threads was successfully treated with surgery. This highlights the importance of considering unusual bezoar compositions in children.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Surgical Pathology
Background:
- Intestinal obstruction is a critical surgical emergency in children.
- Bezoars, foreign body masses in the gastrointestinal tract, are uncommon causes of obstruction.
- Phytobezoars, specifically those containing indigestible materials like cotton threads, are exceptionally rare in pediatric populations.
Observation:
- A 2-year-old male child presented with symptoms of acute intestinal obstruction.
- A palpable and mobile abdominal mass was detected during examination.
- Diagnostic evaluation revealed an intestinal obstruction attributed to a phytobezoar composed of cotton threads.
Findings:
- The phytobezoar was confirmed to contain significant amounts of cotton threads.
- Surgical intervention was required to relieve the small bowel obstruction.
- Microscopic examination confirmed the bezoar's composition.
Implications:
- This case underscores the need for a high index of suspicion for unusual bezoar contents in pediatric intestinal obstruction.
- Surgical management remains the definitive treatment for such obstructive bezoars.
- Further research into the etiology and prevention of phytobezoars in children may be warranted.