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Colo-rectal Lithobezoar: A Rare Cause of Colonic Obstruction.

Mustafa G, Saleem M - APSP J Case Rep (2015)

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health, Lahore, Pakistan.

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Primary colonic lithobezoar is rarely reported in childhood and is usually associated with the history of iron deficiency anemia, pica or psycho-social disorders. [1] These cases may present with chronic constipation, recurrent abdominal pain, and painful defecation... He had a history of recurrent abdominal pain and painful defecation for the last few months... A mass was palpable at the hypogastric area... On digital rectal examination, the anal canal was found full of pieces of red brick... Post-evacuation X-ray, done on 4th postoperative day, showed no opaque areas in the abdomen... On 5th post evacuation day, the child was discharged on oral iron supplements and with parental counseling as well... Colonic crunch sign is the typical feature of colonic lithobezoar... Colonic crush sign is defined as palpation of spiky mass on digital rectal examination.[5] In our case, abdomen was not distended and lithobezoar had blocked the recto-sigmoid colon... A plain X-ray abdomen in these cases shows scattered radio-opaque shadows throughout the colon which is peculiar of colonic lithobezoar, this peculiar appearance is called corn on cub... Nil None declared

No MeSH data available.


Figure 2: Litho-bezoar evacuated through transanal approach.
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Figure 2: Figure 2: Litho-bezoar evacuated through transanal approach.


Colo-rectal Lithobezoar: A Rare Cause of Colonic Obstruction.

Mustafa G, Saleem M - APSP J Case Rep (2015)

Figure 2: Litho-bezoar evacuated through transanal approach.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4288840&req=5

Figure 2: Figure 2: Litho-bezoar evacuated through transanal approach.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health, Lahore, Pakistan.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Primary colonic lithobezoar is rarely reported in childhood and is usually associated with the history of iron deficiency anemia, pica or psycho-social disorders. [1] These cases may present with chronic constipation, recurrent abdominal pain, and painful defecation... He had a history of recurrent abdominal pain and painful defecation for the last few months... A mass was palpable at the hypogastric area... On digital rectal examination, the anal canal was found full of pieces of red brick... Post-evacuation X-ray, done on 4th postoperative day, showed no opaque areas in the abdomen... On 5th post evacuation day, the child was discharged on oral iron supplements and with parental counseling as well... Colonic crunch sign is the typical feature of colonic lithobezoar... Colonic crush sign is defined as palpation of spiky mass on digital rectal examination.[5] In our case, abdomen was not distended and lithobezoar had blocked the recto-sigmoid colon... A plain X-ray abdomen in these cases shows scattered radio-opaque shadows throughout the colon which is peculiar of colonic lithobezoar, this peculiar appearance is called corn on cub... Nil None declared

No MeSH data available.