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Case Reports in Pediatrics
Volume 2013 (2013), Article ID 523569, 4 pages
http://dx.doi.org/10.1155/2013/523569
Case Report

Complications of Bezoar in Children: What Is New?

1Prince of Wales Hospital, Shatin, Hong Kong
2Department of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong
3The University of Calgary, Alberta Children’s Hospital, Calgary, Alberta, Canada

Received 12 August 2013; Accepted 11 September 2013

Academic Editors: E. Czkwianianc and N. L. Shapiro

Copyright © 2013 Kam Lun Ellis Hon et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A bezoar is a mass found trapped in the gastrointestinal system. The condition may be associated with pica, especially in developmentally retarded children. Clinical manifestations are usually nonspecific. Endoscopic diagnosis and removal of the foreign materials is often indicated. Occasionally, severe complications may occur. We report two cases to illustrate the clinical features and complications in these children. In the first case, a reliable history was not obtained in the developmentally delayed girl which precluded prompt diagnosis, but the grossly dilated stomach on plain abdominal radiograph gave clues to an underlying insidious mechanical obstruction of upper gastrointestinal tract. In the second case of a normal child, the unrelenting symptoms and weight loss prompt further investigations which revealed the diagnosis. Literature on pediatric bezoar is reviewed. Oesophagoduodenoscopy is the investigation of choice for diagnostic confirmation, but surgical facilities must be available to deal with acute complications.