Atypical Jejunal Perforation due to Cotton Threads Bezoar in a Postpartum Woman Associated with Pica

Singh, Amit; Sharma, Anil Kumar; Choudhary, Hari Ram; Moharjal, Pranjal; Choudhary, Dileep Kumar

doi:10.7860/jcdr/2016/18425.7851

Cited by 3 publications

(4 citation statements)

References 6 publications

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“…All the patients described in these cases had improved symptoms of pica after iron treatment and supplemental medications. All case studies with gastrointestinal presentations are included in Table 2 [20][21][22][23][24][25].…”

Section: Gastrointestinalmentioning

confidence: 99%

The Association Between Pica and Iron-Deficiency Anemia: A Scoping Review

Ganesan¹,

Vasauskas²

2023

Cureus

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There are many presentations of iron-deficiency anemia associated with pica in adults, but there is a lack of literature summarizing its different presentations. In this scoping review, we sought to identify the various presentations and if treatment of iron-deficiency anemia resolved the presenting symptoms of pica.This review was conducted by completing the Preferred Reporting Items for Systematic Review and Meta-Analysis extension for Scoping Reviews (PRISMA-Scr) checklist. The following electronic databases were searched for potentially eligible articles: PubMed, ProQuest, and Bielefeld Academic Search Engine (BASE). Study screening procedures were completed with a narrative synthesis. The data is synthesized and interpreted by sifting, charting, and sorting based on organ systems. Twenty articles met the inclusion criteria and were included in the scoping review.Regardless of other clinical presentations, the identification of pica symptoms allowed treatment for iron deficiency and led to the resolution of all symptoms in all 20 articles. Therefore, it is imperative to map the available evidence to inform clinicians and allow for better patient care.

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Section: Gastrointestinalmentioning

confidence: 99%

The Association Between Pica and Iron-Deficiency Anemia: A Scoping Review

Ganesan¹,

Vasauskas²

2023

Cureus

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“…1,2 Rapunzel syndrome has usually been described in association with ingested human hair. There have only been a few case reports of cotton thread bezoar reported in the literature, [3][4][5] and only rarely reported in association with Rapunzel syndrome. 2 If undiagnosed, bezoars may lead to gastrointestinal (GI) ulceration, perforation, peritonitis, pancreatitis, biliary obstruction, severe nutritional disturbances, and rarely intestinal obstruction.…”

Section: Introductionmentioning

confidence: 99%

“…2 If undiagnosed, bezoars may lead to gastrointestinal (GI) ulceration, perforation, peritonitis, pancreatitis, biliary obstruction, severe nutritional disturbances, and rarely intestinal obstruction. 5,6 Intussusception as a complication of bezoar has also been rarely described in the literature, usually associated with bowel obstruction. 7,8 It has been postulated that the tail of the bezoar and the intraluminal strands interfere with the small bowel peristalsis and hence predispose to intussusception.…”

Section: Introductionmentioning

confidence: 99%

Rapunzel Syndrome and Small Bowel Intussusceptions Due to a Cotton Thread Bezoar: A Case Report

Raghu

Nagadi

Kumar

2018

Journal of Gastrointestinal and Abdominal Radiology

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Rapunzel syndrome is a rare disease in which a trichobezoar extends into the duodenum or distal small intestine. It is associated with compulsive eating of indigestible substances or pica and is more common in cases of underlying psychiatric disturbances. If left untreated, gastrointestinal bezoars with or without the Rapunzel syndrome may lead to several complications such as ulceration, perforation, peritonitis, pancreatitis, biliary obstruction, severe nutritional disturbances, and rarely intestinal obstruction. We present an exceptionally rare case of Rapunzel syndrome caused by a large cotton thread bezoar in an adolescent girl, associated with multiple jejunal intussusceptions. Further, we present a literature review of this entity. An interesting association of bezoar with intussusception is explained. Since a history of pica may not be forthcoming in all cases, it is important to be familiar with the imaging characteristics, complications, and management of bezoars. AbstractKeywords ► intussusception ► Rapunzel syndrome ► trichobezoar

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“…At least three types of pica are considered: 1) a culturally determined, more frequent in certain ethnic groups; 2) an iron deficiency anemia-related variant; and finally, a 3) severe variant resulting from the expression of an obsessive-compulsive spectrum disorder. Authors formulated two adaptive hypotheses and one nonadaptive hypothesis aiming at the systematization and understanding of the physiological bases for craving in the setting of pica disorder (Singh et al, 2016). The adaptive hypotheses admit that the behavior is aimed to compensate nutritional deficits (calcium, sodium, zinc, and iron) and/or the protection from enterotoxins and/or parasites by reducing the permeability of the intestinal wall or directly binding to the toxins.…”

mentioning

confidence: 99%

A Rare Presentation of Pica Disorder in Soap Ingestion Variant

Sousa,

Cunha,

Abreu

et al. 2024

J Nerv Ment Dis

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Pica indicates the persistent ingestion of inedible substances over a period of at least 1 month, being discordant to the individual's cognitive development level and not directly attributable to cultural or social normative practices. The literature suggests that the prevalence of pica varies significantly according to the social and clinical context. It can co-occur with psychiatric disorders, with its etiology being poorly understood and most likely multifactorial. In this article, we report the case of a patient in her 50s with a clinical setting compatible with soap ingestion variant of pica disorder. In addition to the variety of ingested substances, pica can be associated with heterogeneous behavior, mainly of the obsessive-compulsive spectrum. Despite recent research, this condition is still a target of much speculation. This is a very rare and challenging presentation of a soap ingestion variant of pica with very few similar cases described to date.

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Atypical Jejunal Perforation due to Cotton Threads Bezoar in a Postpartum Woman Associated with Pica

Cited by 3 publications

References 6 publications

The Association Between Pica and Iron-Deficiency Anemia: A Scoping Review

The Association Between Pica and Iron-Deficiency Anemia: A Scoping Review

Rapunzel Syndrome and Small Bowel Intussusceptions Due to a Cotton Thread Bezoar: A Case Report

A Rare Presentation of Pica Disorder in Soap Ingestion Variant

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