Patient characteristics and imaging findings of case reports on management of SBOs secondary to pica
| Study . | Age, sex . | Past medical history . | Imaging modality . | Imaging findings . | Ingested items . | Intervention . | Mortality . |
|---|---|---|---|---|---|---|---|
| Busch et al. 2022 [4] | 41, F | Severe cognitive deficiency | Postmortem CT prior to autopsy | Foreign body lodged in the small intestine, air-filled and distended stomach, and proximal intestines | Latex gloves | N/A | Deceased, cause of death: suffocation due to inhalation of gastric contents |
| Greer et al. 2013 [5] | 36, M | Schizophrenia | Abdominal X-ray, noncontrast CT, gastroscopy, EGD | X-ray: SBO and gastric bezoar; CT scan: prominent debris in stomach, SBO to the mid ileum with a transition point at an area of impacted debris with luminal collapse distal to the obstruction, no free intra-abdominal gas | Vinyl gloves, Chelsea Football Club badge, large clothing label | Exploratory laparotomy | Living |
| Itagaki et al. 2005 [6] | 4, M | None | Upright abdominal X-ray, upper GI endoscopy | X-ray: multiple intraluminal air-fluid levels and distended loops of bowel. Numerous, <1 cm radiopaque objects in the abdomen, including a metal screw; Endoscopy: integrity of the esophageal and gastric mucosa and retrieved several small bits of chewed soft plastic toys | Plastic action figures | Exploratory laparoscopy | Living |
| Kim et al. 2007 [7] | 1.5, F | None | Abdominal X-ray | Partial small-bowel obstruction due to sand in the bowel lumen | Beach sand | Serial tap water enemas | Living |
| Serour et al. 2008 [8] | 14, M | Autism | Abdominal x-ray, CT, gastroscopy | Distended small-bowel loops, with intraluminal heterogeneous mass, and a dilated stomach with mixed content | Twigs, foliage | Exploratory laparoscopy | Living |
| Turner et al. 2023 [9] | 2, F | Autism, trichotillomania, pica | Abdominal ultrasound, abdominal X-ray, CT, fluoroscopic gastrografin enema | US: intussusception; CT: ileo-colonic and colon-colonic intussusception; Contrast enema: successful reduction | Kinetic sand | Fluoroscopic gastrografin enema | Living |
| Yoshida et al. 2019 [10] | 26, M | Hypertrophic pyloric stenosis, intestinal malrotation requiring resection, cognitive disability | Noncontrast CT | Dilated and fluid-filled small-bowel loops. Small-bowel feces sign was evident, distal sponge-like formation | Kitchen sponge | Exploratory laparotomy | Living |
| Study . | Age, sex . | Past medical history . | Imaging modality . | Imaging findings . | Ingested items . | Intervention . | Mortality . |
|---|---|---|---|---|---|---|---|
| Busch et al. 2022 [4] | 41, F | Severe cognitive deficiency | Postmortem CT prior to autopsy | Foreign body lodged in the small intestine, air-filled and distended stomach, and proximal intestines | Latex gloves | N/A | Deceased, cause of death: suffocation due to inhalation of gastric contents |
| Greer et al. 2013 [5] | 36, M | Schizophrenia | Abdominal X-ray, noncontrast CT, gastroscopy, EGD | X-ray: SBO and gastric bezoar; CT scan: prominent debris in stomach, SBO to the mid ileum with a transition point at an area of impacted debris with luminal collapse distal to the obstruction, no free intra-abdominal gas | Vinyl gloves, Chelsea Football Club badge, large clothing label | Exploratory laparotomy | Living |
| Itagaki et al. 2005 [6] | 4, M | None | Upright abdominal X-ray, upper GI endoscopy | X-ray: multiple intraluminal air-fluid levels and distended loops of bowel. Numerous, <1 cm radiopaque objects in the abdomen, including a metal screw; Endoscopy: integrity of the esophageal and gastric mucosa and retrieved several small bits of chewed soft plastic toys | Plastic action figures | Exploratory laparoscopy | Living |
| Kim et al. 2007 [7] | 1.5, F | None | Abdominal X-ray | Partial small-bowel obstruction due to sand in the bowel lumen | Beach sand | Serial tap water enemas | Living |
| Serour et al. 2008 [8] | 14, M | Autism | Abdominal x-ray, CT, gastroscopy | Distended small-bowel loops, with intraluminal heterogeneous mass, and a dilated stomach with mixed content | Twigs, foliage | Exploratory laparoscopy | Living |
| Turner et al. 2023 [9] | 2, F | Autism, trichotillomania, pica | Abdominal ultrasound, abdominal X-ray, CT, fluoroscopic gastrografin enema | US: intussusception; CT: ileo-colonic and colon-colonic intussusception; Contrast enema: successful reduction | Kinetic sand | Fluoroscopic gastrografin enema | Living |
| Yoshida et al. 2019 [10] | 26, M | Hypertrophic pyloric stenosis, intestinal malrotation requiring resection, cognitive disability | Noncontrast CT | Dilated and fluid-filled small-bowel loops. Small-bowel feces sign was evident, distal sponge-like formation | Kitchen sponge | Exploratory laparotomy | Living |
Patient characteristics and imaging findings of case reports on management of SBOs secondary to pica
| Study . | Age, sex . | Past medical history . | Imaging modality . | Imaging findings . | Ingested items . | Intervention . | Mortality . |
|---|---|---|---|---|---|---|---|
| Busch et al. 2022 [4] | 41, F | Severe cognitive deficiency | Postmortem CT prior to autopsy | Foreign body lodged in the small intestine, air-filled and distended stomach, and proximal intestines | Latex gloves | N/A | Deceased, cause of death: suffocation due to inhalation of gastric contents |
| Greer et al. 2013 [5] | 36, M | Schizophrenia | Abdominal X-ray, noncontrast CT, gastroscopy, EGD | X-ray: SBO and gastric bezoar; CT scan: prominent debris in stomach, SBO to the mid ileum with a transition point at an area of impacted debris with luminal collapse distal to the obstruction, no free intra-abdominal gas | Vinyl gloves, Chelsea Football Club badge, large clothing label | Exploratory laparotomy | Living |
| Itagaki et al. 2005 [6] | 4, M | None | Upright abdominal X-ray, upper GI endoscopy | X-ray: multiple intraluminal air-fluid levels and distended loops of bowel. Numerous, <1 cm radiopaque objects in the abdomen, including a metal screw; Endoscopy: integrity of the esophageal and gastric mucosa and retrieved several small bits of chewed soft plastic toys | Plastic action figures | Exploratory laparoscopy | Living |
| Kim et al. 2007 [7] | 1.5, F | None | Abdominal X-ray | Partial small-bowel obstruction due to sand in the bowel lumen | Beach sand | Serial tap water enemas | Living |
| Serour et al. 2008 [8] | 14, M | Autism | Abdominal x-ray, CT, gastroscopy | Distended small-bowel loops, with intraluminal heterogeneous mass, and a dilated stomach with mixed content | Twigs, foliage | Exploratory laparoscopy | Living |
| Turner et al. 2023 [9] | 2, F | Autism, trichotillomania, pica | Abdominal ultrasound, abdominal X-ray, CT, fluoroscopic gastrografin enema | US: intussusception; CT: ileo-colonic and colon-colonic intussusception; Contrast enema: successful reduction | Kinetic sand | Fluoroscopic gastrografin enema | Living |
| Yoshida et al. 2019 [10] | 26, M | Hypertrophic pyloric stenosis, intestinal malrotation requiring resection, cognitive disability | Noncontrast CT | Dilated and fluid-filled small-bowel loops. Small-bowel feces sign was evident, distal sponge-like formation | Kitchen sponge | Exploratory laparotomy | Living |
| Study . | Age, sex . | Past medical history . | Imaging modality . | Imaging findings . | Ingested items . | Intervention . | Mortality . |
|---|---|---|---|---|---|---|---|
| Busch et al. 2022 [4] | 41, F | Severe cognitive deficiency | Postmortem CT prior to autopsy | Foreign body lodged in the small intestine, air-filled and distended stomach, and proximal intestines | Latex gloves | N/A | Deceased, cause of death: suffocation due to inhalation of gastric contents |
| Greer et al. 2013 [5] | 36, M | Schizophrenia | Abdominal X-ray, noncontrast CT, gastroscopy, EGD | X-ray: SBO and gastric bezoar; CT scan: prominent debris in stomach, SBO to the mid ileum with a transition point at an area of impacted debris with luminal collapse distal to the obstruction, no free intra-abdominal gas | Vinyl gloves, Chelsea Football Club badge, large clothing label | Exploratory laparotomy | Living |
| Itagaki et al. 2005 [6] | 4, M | None | Upright abdominal X-ray, upper GI endoscopy | X-ray: multiple intraluminal air-fluid levels and distended loops of bowel. Numerous, <1 cm radiopaque objects in the abdomen, including a metal screw; Endoscopy: integrity of the esophageal and gastric mucosa and retrieved several small bits of chewed soft plastic toys | Plastic action figures | Exploratory laparoscopy | Living |
| Kim et al. 2007 [7] | 1.5, F | None | Abdominal X-ray | Partial small-bowel obstruction due to sand in the bowel lumen | Beach sand | Serial tap water enemas | Living |
| Serour et al. 2008 [8] | 14, M | Autism | Abdominal x-ray, CT, gastroscopy | Distended small-bowel loops, with intraluminal heterogeneous mass, and a dilated stomach with mixed content | Twigs, foliage | Exploratory laparoscopy | Living |
| Turner et al. 2023 [9] | 2, F | Autism, trichotillomania, pica | Abdominal ultrasound, abdominal X-ray, CT, fluoroscopic gastrografin enema | US: intussusception; CT: ileo-colonic and colon-colonic intussusception; Contrast enema: successful reduction | Kinetic sand | Fluoroscopic gastrografin enema | Living |
| Yoshida et al. 2019 [10] | 26, M | Hypertrophic pyloric stenosis, intestinal malrotation requiring resection, cognitive disability | Noncontrast CT | Dilated and fluid-filled small-bowel loops. Small-bowel feces sign was evident, distal sponge-like formation | Kitchen sponge | Exploratory laparotomy | Living |
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