A young child with massive gastrointestinal lithobezoar

Abstract

Gastrointestinal lithobezoar is a rare condition in which there is the formation of foreign body concretions in the gastrointestinal tract, and such type of patients usually present with the signs and symptoms of intestinal obstruction. We present a rare case of 6 years old female patient incidentally diagnosed with massive gastrointestinal lithobezoar. Colonic lithobezoar usually occurs in the condition called Pica in which there is iron deficiency anemia. Rare number of such cases have been reported till date and such type of patients should be managed conservatively until and unless there is any compelling indication for exploration. All such type of patients should be managed in hospital with kleen enema, parenteral fluids and laxatives and need hematological and psychiatric consultation. In our case as well, the patient was managed conservatively with kleen enema, parenteral fluids and laxatives leading to significant improvement both clinically and radiologically.