Table of Contents

HK J Paediatr (New Series)
Vol 9. No. 2, 2004

HK J Paediatr (New Series) 2004;9:171-175

Case Report

A Three Years Old Indian Girl with Abdominal Distension and Bizarre Eating Habit

DWY Mak, WL Yiu, NKC Tse, CK Li


Abdominal distension is a common but non-specific sign of a variety of diseases and conditions that always warrant meticulous and thorough physical examination as well as investigations. An Indian girl who presented with a grossly distended abdomen was admitted for suspected child neglect and malnutrition. History of pica was noted and a big gastric bezoar was removed surgically. Investigations came up with the diagnosis of coeliac sprue. Low level of awareness would overlook this disease entity easily, particularly in a region with exceedingly low prevalence like our locality. Indeed, screenings of at-risk groups in Caucasians have resulted in identification of considerable numbers of atypical and asymptomatic cases.

Keyword : Bezoars; Coeliac disease; Jejunal biopsy; Malabsorption; Pica

Abstract in Chinese


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