title: Sandy faecal impaction caused by severe pica.
abstract: Two primary school age children having severe pica for sand, presented with severe constipation caused by sandy faecal impaction, simulating intestinal obstruction. Digital disimpaction and enema relieved the symptoms.
mesh_terms: D002648:Child; D002675:Child, Preschool; D003248:Constipation / Q000209:etiology; D003937:Diagnosis, Differential; D004733:Enema; D005244:Fecal Impaction / Q000150:complications / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis; D010842:Pica / Q000150:complications*