title: Paper pica: an unusual cause of colonic ischemia.
abstract: BACKGROUND
  Pica as an eating disorder is uncommonly associated with surgical complications. Paper as the consumed substance has been previously reported twice in the literature.
  
  
  CONCLUSIONS
  We present a case of bowel obstruction and ischemia secondary to paper pica. The pathophysiology, histology, and characteristics of this entity are presented, and emphasis is placed on clinical suspicion in patients with psychiatric history.
authors: Department of Surgery, University of Rochester, Rochester, NY, USA.
authors: Konstantinos
authors: K
authors: Spaniolas
authors: Stephen
authors: S
authors: Ou
authors: Jennifer
authors: J
authors: Findeis-Hosey
authors: John R T
authors: JR
authors: Monson
authors: Rabih
authors: R
authors: Salloum
mesh_terms: D003082:Colectomy; D017091:Colitis, Ischemic / Q000209:etiology* / Q000601:surgery; D003106:Colon / Q000098:blood supply / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery; D007511:Ischemia / Q000209:etiology* / Q000601:surgery; D008875:Middle Aged; D009336:Necrosis; D010209:Paper; D010842:Pica / Q000150:complications*