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Recurrent gastric lactobezoar in an infant

Leonor Castro1, Alberto Berenguer1, Carla Pilar1

  • 1Department of Paediatrics , Hospital Dr Nélio Mendonça, SESARAM, EPE , Funchal , Portugal.

Oxford Medical Case Reports
|May 20, 2015
PubMed

Insights

Lactobezoars, undigested milk masses, can recur in premature infants. This case highlights recurrence in a preterm infant with esophageal atresia, a first-time reported occurrence.

Area of Science:

  • Pediatric Gastroenterology
  • Neonatology
  • Digestive Health

Background:

  • Lactobezoars are rare bezoars formed from undigested milk and mucus.
  • Typically associated with premature infants receiving hyperconcentrated formula.
  • Multifactorial etiology often involves immaturity and feeding practices.

Observation:

  • A case of lactobezoar recurrence is presented.
  • The affected patient was a preterm infant.
  • The infant had a history of esophageal atresia.

Findings:

  • This is the first reported instance of lactobezoar recurrence.
  • Recurrence suggests potential underlying factors beyond initial management.
  • Esophageal atresia may contribute to impaired gastric emptying and bezoar formation.

Implications:

  • Highlights the need for vigilance regarding lactobezoar recurrence in high-risk infants.
  • Suggests further investigation into the role of congenital anomalies like esophageal atresia.
  • Informs clinical management strategies for preventing recurrent lactobezoars in vulnerable neonates.

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