Literature DB >> 25183805

An unlikely cause of severe malnutrition in a 3-year-old girl with previous gastroschisis.

J J Ashton1, S Blackburn2, D Burge2, R M Beattie1.   

Abstract

A 3-year-old girl with previous gastroschisis associated with jejunal and colonic atresia presented with severe oedema, abdominal pain and diarrhoea. Clinically she was malnourished. Serum albumin and concentrations of micronutrients were low. A barium meal examination showed jejunal dilation. A stricture was suspected and the patient was taken to theatre where an 8 cm length of bowel was resected including a jejunal stricture at the point of previous atresia repair. Inside the proximal dilated jejunum was a large trichobezoar (hairball), thought to be acting as a ball valve inside the bowel. This girl made a rapid recovery after surgery. Her nutritional state improved, symptoms resolved and serum biochemistry normalised. She remains well at follow-up with normal blood results, normal albumin and no diarrhoea. 2014 BMJ Publishing Group Ltd.

Entities:  

Mesh：

Year:  2014        PMID： 25183805      PMCID： PMC4158246          DOI： 10.1136/bcr-2014-204530

Source DB:  PubMed          Journal:  BMJ Case Rep        ISSN： 1757-790X


  11 in total

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Authors:  Roberto De Giorgio; Rosanna F Cogliandro; Giovanni Barbara; Roberto Corinaldesi; Vincenzo Stanghellini
Journal:  Gastroenterol Clin North Am       Date:  2011-12       Impact factor: 3.806

Review 2.  Small bowel bacterial overgrowth. An underrecognized cause of malnutrition in older adults.

Authors:  Heather L Elphick; David A Elphick; David S Sanders
Journal:  Geriatrics       Date:  2006-09

Review 3.  Small intestinal bacterial overgrowth syndrome.

Authors:  Jan Bures; Jiri Cyrany; Darina Kohoutova; Miroslav Förstl; Stanislav Rejchrt; Jaroslav Kvetina; Viktor Vorisek; Marcela Kopacova
Journal:  World J Gastroenterol       Date:  2010-06-28       Impact factor: 5.742

4.  Trichotillomania and trichobezoar in an infant. Psychological factors underlying this symptom.

Authors:  M K Aleksandrowicz; A J Mares
Journal:  J Am Acad Child Psychiatry       Date:  1978

5.  Gastro-intestinal bezoars: thirty-five years experience.

Authors:  Y E Ersoy; F Ayan; F Ayan; Y Ersan
Journal:  Acta Chir Belg       Date:  2009 Mar-Apr       Impact factor: 1.090

6.  Long-term outcome of chronic intestinal pseudo-obstruction adult patients requiring home parenteral nutrition.

Authors:  Aurelien Amiot; Francisca Joly; Arnaud Alves; Yves Panis; Yoram Bouhnik; Bernard Messing
Journal:  Am J Gastroenterol       Date:  2009-04-14       Impact factor: 10.864

7.  Gastroschisis: a 17-year experience.

Authors:  T Muraji; C Tsugawa; E Nishijima; H Tanano; Y Matsumoto; K Kimura
Journal:  J Pediatr Surg       Date:  1989-04       Impact factor: 2.545

8.  Gastroschisis and intestinal atresia.

Authors:  R Shah; M M Woolley
Journal:  J Pediatr Surg       Date:  1991-07       Impact factor: 2.545

9.  Breath Hydrogen Gas Concentration Linked to Intestinal Gas Distribution and Malabsorption in Patients with Small-bowel Pseudo-obstruction.

Authors:  Yoshihisa Urita; Toshiyasu Watanabe; Tadashi Maeda; Yosuke Sasaki; Susumu Ishihara; Kazuo Hike; Masaki Sanaka; Hitoshi Nakajima; Motonobu Sugimoto
Journal:  Biomark Insights       Date:  2009-01-15

10.  An unusual cause of small bowel obstruction in a child: ingested rhubarb.

Authors:  Miguel Glatstein; Dana Danino; Ayelet Rimon; Sergei Keidar; Dennis Scolnik
Journal:  Case Rep Surg       Date:  2013-06-25
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