Paper pica: an unusual cause of colonic ischemia.
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.
Spaniolas
Konstantinos
K
Department of Surgery, University of Rochester, Rochester, NY, USA.
Ou
Stephen
S
Findeis-Hosey
Jennifer
J
Monson
John R T
JR
Salloum
Rabih
R
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*