Not a Common Rectosigmoid Perforation

Abstract

Gastrointestinal perforation is a common complication arising due to homicidal injuries, trauma or intake of medications like aspirin. Intestinal perforation caused by chronic intake of mud, clay or soil is a rare phenomenon and very few cases have been reported in the literature. We hereby present the first case of rectosigmoid perforation from Pakistan which was caused by chronic mud intake in a female patient. Diagnosis of this condition in its early stage is important because it can be fatal if not addressed urgently.

Kaolin Clay Anemia

“…There are also obvious health risks in the consumption of soil, in particular, ingestion of helminth eggs, such as Ascaris and hookworm. Severe constipation and colon rupture have also been reported with clay consumption [ 8 ]. One study examined the effects of kaolin ingestion on pregnant rats and their fetal development.…”

Relationship of self-reported pica and avoidant restrictive food intake disorder symptomology with dimensions of impulsivity, perceived stress among Pakistani University students

“…Pica often goes undiagnosed in Pakistan and most of the research available here is on institutionalized population, in the form of case studies which makes it difficult to estimate the global prevalence rates. The case studies reported pica as a factor associated with pregnancy and helminthic infestations in children from low socioeconomic backgrounds [ 26 , 27 , 28 ]. However, while these studies identify the presence of pica but it is not studied as a primary condition in these studies.…”