Abstract
Poor weight gain is frequently seen in children with cerebral palsy. This is most commonly due to poor oral-motor coordination, resulting in inadequate caloric intake. We present the case of an eight-year-old girl with Aicardi syndrome who had been an exclusively oral feeder and who was noted to have had a 10-lb weight loss over the previous months when she was admitted to the hospital with seizures. Due to ongoing diminished oral intake, a barium swallow was performed, which revealed a filling defect. The mass that was removed at surgery proved to be a lactobezoar, a very uncommon finding in a child of this age.
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- Andrus C. H., Ponsky J. L. Bezoars: classification, pathophysiology, and treatment. Am J Gastroenterol. 1988 May;83(5):476–478. [PubMed] [Google Scholar]
- Bakken D. A., Abramo T. J. Gastric lactobezoar: a rare cause of gastric outlet obstruction. Pediatr Emerg Care. 1997 Aug;13(4):264–267. [PubMed] [Google Scholar]
- DuBose T. M., 5th, Southgate W. M., Hill J. G. Lactobezoars: a patient series and literature review. Clin Pediatr (Phila) 2001 Nov;40(11):603–606. doi: 10.1177/000992280104001104. [DOI] [PubMed] [Google Scholar]
- Duritz G., Oltorf C. Lactobezoar formation associated with high-density caloric formula. Pediatrics. 1979 Apr;63(4):647–649. [PubMed] [Google Scholar]
- Gittelman M. A., Racadio J., Gonzalez del Rey J. Radiological case of the month. Lactobezoar. Arch Pediatr Adolesc Med. 1999 May;153(5):541–542. doi: 10.1001/archpedi.153.5.541. [DOI] [PubMed] [Google Scholar]
- Goldstein S. S., Lewis J. H., Rothstein R. Intestinal obstruction due to bezoars. Am J Gastroenterol. 1984 Apr;79(4):313–318. [PubMed] [Google Scholar]
- Jones P. M. Feeding disorders in children with multiple handicaps. Dev Med Child Neurol. 1989 Jun;31(3):404–406. doi: 10.1111/j.1469-8749.1989.tb04013.x. [DOI] [PubMed] [Google Scholar]
- Lemoh J. N., Watt J. Lactobezoar and cows' milk protein intolerance. Arch Dis Child. 1980 Feb;55(2):128–129. doi: 10.1136/adc.55.2.128. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Nirasawa Y., Mori T., Ito Y., Tanaka H., Seki N., Atomi Y. Laparoscopic removal of a large gastric trichobezoar. J Pediatr Surg. 1998 Apr;33(4):663–665. doi: 10.1016/s0022-3468(98)90342-6. [DOI] [PubMed] [Google Scholar]
- Schreiner R. L., Brady M. S., Franken E. A., Stevens D. C., Lemons J. A., Gresham E. L. Increased incidence of lactobezoars in low birth weight infants. Am J Dis Child. 1979 Sep;133(9):936–940. doi: 10.1001/archpedi.1979.02130090064012. [DOI] [PubMed] [Google Scholar]
- Singer J. I. Lactobezoar causing an abdominal triad of colicky pain, emesis, and mass. Pediatr Emerg Care. 1988 Sep;4(3):194–196. doi: 10.1097/00006565-198809000-00009. [DOI] [PubMed] [Google Scholar]
- Sippell W. G., Kalb C., Fendel H. Lactobezoar in an infant: an unusual cause of upper abdominal tumour persisting for several weeks. Case report and review of the literature. Eur J Pediatr. 1977 Aug 23;126(1-2):97–102. doi: 10.1007/BF00443128. [DOI] [PubMed] [Google Scholar]
- Tolia V., Dubois R. S. Lactobezoar in prematurity. A case with prolonged resolution. Clin Pediatr (Phila) 1981 Oct;20(10):651–653. doi: 10.1177/000992288102001006. [DOI] [PubMed] [Google Scholar]
- Towery Heather H., Chan Raymond K. Lactobezoar: a case report. Clin Pediatr (Phila) 2004 Jul-Aug;43(6):577–578. doi: 10.1177/000992280404300612. [DOI] [PubMed] [Google Scholar]
- Verstandig A. G., Klin B., Bloom R. A., Hadas I., Libson E. Small bowel phytobezoars: detection with radiography. Radiology. 1989 Sep;172(3):705–707. doi: 10.1148/radiology.172.3.2772176. [DOI] [PubMed] [Google Scholar]
- WOLF R. S., BRUCE J. Gastrotomy for lactobezoar in a newborn infant. J Pediatr. 1959 Jun;54(6):811–812. doi: 10.1016/s0022-3476(59)80150-5. [DOI] [PubMed] [Google Scholar]