title: Foam bezoar: resection of perforated terminal ileum in a 17-year-old with sickle β+ thalassemia and pica.
abstract: Children and adolescents with sickle cell disease demonstrate an increased incidence of pica. Pica involving polyurethane foam has been previously reported, but effective management of such cases remains unclear. We present the case of a 17-year-old African American adolescent girl with sickle β+ thalassemia who presented with a long history of foam rubber pica resulting in intestinal obstruction. Conservative management was unsuccessful, and the patient ultimately required operative intervention. We advocate for a low threshold for early operation in cases of foam rubber bezoar.
authors.affiliation: Hope Children's Hospital/Advocate Christ Medical Center, Oak Lawn, IL 60043, USA. tara.master@gmail.com
authors.forename: Tara
authors.initials: T
authors.lastname: Altepeter
authors.forename: John
authors.initials: J
authors.lastname: Annes
authors.forename: Janet
authors.initials: J
authors.lastname: Meller
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000293:Adolescent; D001630:Bezoars / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D003863:Depression / Q000150:complications; D005260:Female; D006579:Heterozygote; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology* / Q000601:surgery; D007082:Ileum / Q000601:surgery; D007416:Intestinal Perforation / Q000209:etiology* / Q000601:surgery; D010538:Peritonitis / Q000209:etiology; D010842:Pica / Q000150:complications*; D011140:Polyurethanes / Q000009:adverse effects*; D011859:Radiography; D012805:Sickle Cell Trait / Q000150:complications* / Q000235:genetics; D015032:Zinc / Q000172:deficiency; D017086:beta-Thalassemia / Q000150:complications* / Q000235:genetics
chemical_list: D011140:Polyurethanes; D015032:Zinc