Sandy faecal impaction caused by severe pica.
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.
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*