Sigmoid Lithobezoar associated with iron deficiency anaemia: a rare case report

In this case study, we describe the presentation of a 6-year-old male patient afflicted with iron deficiency anaemia (IDA) who manifested gastrointestinal obstruction attributable to the habitual ingestion of brick dust and soil, a characteristic behaviour associated with pica. The obstructive material, resembling bricks in consistency, necessitated manual extraction from the patient's anus. Subsequently, the patient received oral iron supplementation as part of the therapeutic regimen. While the causative relationship between pica and IDA remains subject to ongoing debate within the scientific community, our findings underscore the importance of implementing routine screening protocols for iron deficiency in the evaluation of lithobezoar cases among paediatric populations.

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Publication Details

Journal
Oxford Medical Case Reports
Published
2025-10-24
DOI
https://doi.org/10.1093/omcr/omaf252
Primary Topic
Therapeutic Uses of Natural Elements
Type
article
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article

Sigmoid Lithobezoar associated with iron deficiency anaemia: a rare case report

Dattatreya Mukherjee, Kaustav Nayek, B. P. Das, Sumitaksha Banerjee et al.
Oxford Medical Case Reports
Therapeutic Uses of Natural Elements
article

Sigmoid Lithobezoar associated with iron deficiency anaemia: a rare case report

Dattatreya Mukherjee, Kaustav Nayek, B. P. Das, Sumitaksha Banerjee, Mahaprasad Pal, Wasim Akram, Aymar Akilimali
article en

Abstract

In this case study, we describe the presentation of a 6-year-old male patient afflicted with iron deficiency anaemia (IDA) who manifested gastrointestinal obstruction attributable to the habitual ingestion of brick dust and soil, a characteristic behaviour associated with pica. The obstructive material, resembling bricks in consistency, necessitated manual extraction from the patient's anus. Subsequently, the patient received oral iron supplementation as part of the therapeutic regimen. While the causative relationship between pica and IDA remains subject to ongoing debate within the scientific community, our findings underscore the importance of implementing routine screening protocols for iron deficiency in the evaluation of lithobezoar cases among paediatric populations.

Oxford Medical Case ReportsVol. 2025(11)
Burdwan Medical College & Hospital (IN), Goa Medical College (IN), Raiganj University (IN)
Openalex Percentile: Top 55%
Therapeutic Uses of Natural Elements
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Sigmoid Lithobezoar associated with iron deficiency anaemia: a rare case report — Dattatreya Mukherjee, Kaustav Nayek, et al. · Oxford Medical Case Reports (2025) | TGRS Research Map | TGRS