Lactobezoar causing an abdominal triad of colicky pain, emesis, and mass.
A case of lactobezoar is described in a toddler with an acute history of abdominal pain, vomiting, and lethargy. Despite normal dietary habits, he had developed a gastric milk coagulum which led to a palpable epigastric tumor. Intussusception was suspected but disproven by barium enema. In retrospect, plain abdominal radiographs demonstrated characteristic mottled filling defects in the stomach from a lactobezoar. Conservative therapy led to prompt disintegration of the lactobezoar.
Singer
J I
JI
Department of Emergency Medicine and Pediatrics, Wright State University School of Medicine, Ohio.
D000818:Animals; D001630:Bezoars / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D005751:Gastric Lavage; D006801:Humans; D007077:Ileal Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D007223:Infant; D007441:Intubation, Gastrointestinal; D007443:Intussusception / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D008297:Male; D008892:Milk; D011859:Radiography