Recurrent gastric lactobezoar in an infant

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.