{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T12:56:50Z","timestamp":1764161810186,"version":"3.46.0"},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T00:00:00Z","timestamp":1764115200000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>In this case study, we describe the presentation of a 6-year-old male patient afflicted with iron deficiency anaemia (IDA) who manifested gastrointestinal obstruction attributable to the habitual ingestion of brick dust and soil, a characteristic behaviour associated with pica. The obstructive material, resembling bricks in consistency, necessitated manual extraction from the patient's anus. Subsequently, the patient received oral iron supplementation as part of the therapeutic regimen. While the causative relationship between pica and IDA remains subject to ongoing debate within the scientific community, our findings underscore the importance of implementing routine screening protocols for iron deficiency in the evaluation of lithobezoar cases among paediatric populations.<\/jats:p>","DOI":"10.1093\/omcr\/omaf252","type":"journal-article","created":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T12:00:54Z","timestamp":1761307254000},"source":"Crossref","is-referenced-by-count":0,"title":["Sigmoid Lithobezoar associated with iron deficiency anaemia: a rare case report"],"prefix":"10.1093","volume":"2025","author":[{"given":"Bodhisatya","family":"Das","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Burdwan Medical College and Hospital , Baburbag, Purba Burdwan, West Bengal, 713104,","place":["India"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahaprasad","family":"Pal","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Burdwan Medical College and Hospital , Baburbag, Purba Burdwan, West Bengal, 713104,","place":["India"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaustav","family":"Nayek","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Burdwan Medical College and Hospital , Baburbag, Purba Burdwan, West Bengal, 713104,","place":["India"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wasim","family":"Akram","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Burdwan Medical College and Hospital , Baburbag, Purba Burdwan, West Bengal, 713104,","place":["India"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7566-3843","authenticated-orcid":false,"given":"Dattatreya","family":"Mukherjee","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Raiganj Government Medical College and Hospital , Raiganj, Uttar Dinajpur, West Bengal, 733134,","place":["India"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sumitaksha","family":"Banerjee","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Burdwan Medical College and Hospital , Baburbag, Purba Burdwan, West Bengal, 713104,","place":["India"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aymar","family":"Akilimali","sequence":"additional","affiliation":[{"name":"Department of Research, Medical Research Circle , Kyeshero, Lusaka rue 218, Postal Code 73 Gisenyi, Goma, North Kivu, DR \u00a0","place":["Congo"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,11,26]]},"reference":[{"key":"2025112607523867000_ref1","doi-asserted-by":"publisher","first-page":"400","DOI":"10.5009\/gnl.2014.8.4.400","article-title":"Clinical outcomes associated with treatment modalities for gastrointestinal bezoars","volume":"8","author":"Park","year":"2014","journal-title":"Gut Liver"},{"key":"2025112607523867000_ref2","doi-asserted-by":"publisher","first-page":"854975","DOI":"10.1155\/2013\/854975","article-title":"Intestinal obstruction due to colonic Lithobezoar: a case report and a review of literature","volume":"2013","author":"Senol","year":"2013","journal-title":"Case Rep Pediatr"},{"key":"2025112607523867000_ref3","first-page":"421","article-title":"The chemical structure of kaki-tannin from immature fruit of the persimmon","volume":"126","author":"Matsuo","year":"1978","journal-title":"Agric Biol Chem"},{"key":"2025112607523867000_ref4","doi-asserted-by":"publisher","first-page":"526","DOI":"10.1016\/0002-9610(86)90221-7","article-title":"Surgical aspects of gastrointestinal persimmon phytobezoar treatment","volume":"152","author":"Krausz","year":"1986","journal-title":"Am J Surg"},{"key":"2025112607523867000_ref5","doi-asserted-by":"publisher","first-page":"E217","DOI":"10.1055\/s-0042-109057Endoscopy","article-title":"Mangiafico S et\u00a0al an alternative endoscopic treatment for massive gastric bezoars: Ho:YAG laser fragmentation","volume":"48","author":"Grande","year":"2016","journal-title":"Endoscopy."},{"key":"2025112607523867000_ref6","doi-asserted-by":"publisher","first-page":"1075","DOI":"10.1080\/17474086.2016.1245136","article-title":"Pica as a manifestation of iron deficiency","volume":"9","author":"Borgna-Pignatti","year":"2016","journal-title":"Expert Rev Hematol"},{"key":"2025112607523867000_ref7","doi-asserted-by":"publisher","first-page":"907","DOI":"10.1016\/S0140-6736(15)60865-0","article-title":"Iron deficiency anaemia","volume":"387","author":"Lopez","year":"2016","journal-title":"Lancet."},{"key":"2025112607523867000_ref8","first-page":"1","article-title":"Iron deficiency: beyond Anemia","volume":"2","author":"Bharat","year":"2017","journal-title":"Acad J Ped Neonatol"},{"key":"2025112607523867000_ref9","doi-asserted-by":"publisher","first-page":"84","DOI":"10.1002\/ajhb.22598","article-title":"A meta-analysis of pica and micronutrient status","volume":"27","author":"Miao","year":"2015","journal-title":"Am J Hum Biol"},{"key":"2025112607523867000_ref10","doi-asserted-by":"publisher","first-page":"324","DOI":"10.1186\/1752-1947-2-324","article-title":"Pica and refractory iron deficiency anaemia: a case report","volume":"2","author":"Garnier","year":"2008","journal-title":"J Med Case Rep"},{"key":"2025112607523867000_ref11","first-page":"667","article-title":"Pathophysiology and Management of Pica","volume":"3","author":"Sehar","year":"2010","journal-title":"Pharmacologyonline."},{"key":"2025112607523867000_ref12","doi-asserted-by":"publisher","first-page":"122","DOI":"10.4103\/0975-9727.118245","article-title":"Pica in children with tetralogy of Fallot: report of two cases","volume":"4","author":"Ibrahim","year":"2013","journal-title":"Muller J Med Sci Res"},{"key":"2025112607523867000_ref13","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1177\/10883576050200010301","article-title":"Understanding pica behavior: a review for clinical and education professionals","volume":"20","author":"Stiegler","year":"2005","journal-title":"Focus Autism Other Dev Disabl"},{"key":"2025112607523867000_ref14","first-page":"1","article-title":"Pica among Sudanese children with sickle cell anemia","volume":"4","author":"Ahmed","year":"2015","journal-title":"Basic Res J Med Clin Sci"},{"key":"2025112607523867000_ref15","first-page":"66","article-title":"The incidence of pica in a sample of dialysis patients","volume":"1","author":"Stillman","year":"2009","journal-title":"J Psychol Couns"},{"key":"2025112607523867000_ref16","first-page":"111","article-title":"Gastric bezoars-diagnostic and therapeutic challenges","volume":"22","author":"Mihai","year":"2013","journal-title":"J Gastrointestin Liver Dis"},{"key":"2025112607523867000_ref17","doi-asserted-by":"publisher","first-page":"336","DOI":"10.4253\/wjge.v7.i4.336","article-title":"Review of the diagnosis and management of gastrointestinal bezoars","volume":"7","author":"Iwamuro","year":"2015","journal-title":"World J Gastrointest Endosc"},{"key":"2025112607523867000_ref18","doi-asserted-by":"publisher","first-page":"69","DOI":"10.3393\/jksc.2012.28.2.69","article-title":"Is abdominal computed tomography helpful for the management of an intestinal obstruction caused by a bezoar?","volume":"28","author":"Ahn","year":"2012","journal-title":"J Korean Soc Coloproctol"},{"key":"2025112607523867000_ref19","doi-asserted-by":"publisher","first-page":"1612","DOI":"10.1007\/s11605-007-0408-4","article-title":"Rapunzel syndrome: a case report and review","volume":"12","author":"Western","year":"2008","journal-title":"J Gastrointest Surg"},{"key":"2025112607523867000_ref20","doi-asserted-by":"publisher","first-page":"2265","DOI":"10.3748\/wjg.15.2265","article-title":"How good is cola for dissolution of gastric phytobezoars?","volume":"15","author":"Lee","year":"2009","journal-title":"World J Gastroenterol"},{"key":"2025112607523867000_ref21","first-page":"162","article-title":"Giant gastric phytobezoar successfully eradicated by oral intake plus endoscopic injection of Coca-Cola: a case report","volume":"20","author":"Hung","year":"2009","journal-title":"Intern Med Taiwan"},{"key":"2025112607523867000_ref22","doi-asserted-by":"publisher","first-page":"298392","DOI":"10.1155\/2013\/298392","article-title":"CT findings of patients with small bowel obstruction due to bezoar: a descriptive study","volume":"2013","author":"Altintoprak","year":"2013","journal-title":"Sci World J"},{"key":"2025112607523867000_ref23","doi-asserted-by":"publisher","first-page":"1099","DOI":"10.2169\/internalmedicine.53.2114","article-title":"Clinical characteristics and treatment outcomes of nineteen Japanese patients with gastrointestinal bezoars","volume":"53","author":"Iwamuro","year":"2014","journal-title":"Intern Med"},{"key":"2025112607523867000_ref24","doi-asserted-by":"publisher","first-page":"6730","DOI":"10.3748\/wjg.v12.i41.6730","article-title":"Endoscopic management of a new entity-plastobezoar: a case report and review of literature","volume":"12","author":"Misra","year":"2006","journal-title":"World J Gastroenterol"},{"key":"2025112607523867000_ref25","doi-asserted-by":"publisher","first-page":"1085","DOI":"10.2169\/internalmedicine.55.5567","article-title":"Gastric outlet obstruction--an unexpected complication during Coca-Cola therapy for a gastric bezoar: a case report and literature review","volume":"55","author":"Lu","year":"2016","journal-title":"Intern Med"},{"key":"2025112607523867000_ref26","doi-asserted-by":"publisher","first-page":"895","DOI":"10.1016\/j.gie.2014.01.052","article-title":"Endoscopic removal of gastric bezoars: an easy technique","volume":"80","author":"Kurt","year":"2014","journal-title":"Gastrointest Endosc"},{"key":"2025112607523867000_ref27","doi-asserted-by":"publisher","first-page":"127","DOI":"10.5001\/omj.2011.31","article-title":"An unusual cause of gastrointestinal obstruction: bezoar","volume":"26","author":"Abbas","year":"2011","journal-title":"Oman Med J"},{"key":"2025112607523867000_ref28","doi-asserted-by":"publisher","first-page":"1694","DOI":"10.1007\/BF01299861","article-title":"Gastric surgery and bezoars","volume":"37","author":"Cifuentes Tebar","year":"1992","journal-title":"Dig Dis Sci"},{"key":"2025112607523867000_ref29","doi-asserted-by":"publisher","first-page":"473","DOI":"10.1016\/j.mehy.2014.07.016","article-title":"Pagophagia improves neuropsychological processing speed in iron-deficiency anemia","volume":"83","author":"Hunt","year":"2014","journal-title":"Med Hypotheses"},{"key":"2025112607523867000_ref30","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1016\/j.amjmed.2004.07.050","article-title":"Pica and food craving in patients with iron deficiency anemia: a case-control study in France","volume":"118","author":"Kettaneh","year":"2005","journal-title":"Am J Med"},{"key":"2025112607523867000_ref31","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1186\/1752-1947-4-86","article-title":"Pica in iron deficiency: a case series","volume":"4","author":"Khan","year":"2010","journal-title":"J Med Case Rep"}],"container-title":["Oxford Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2025\/11\/omaf252\/65549599\/omaf252.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2025\/11\/omaf252\/65549599\/omaf252.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T12:52:43Z","timestamp":1764161563000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/omcr\/article\/doi\/10.1093\/omcr\/omaf252\/8343267"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":31,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025,11,26]]}},"URL":"https:\/\/doi.org\/10.1093\/omcr\/omaf252","relation":{},"ISSN":["2053-8855"],"issn-type":[{"value":"2053-8855","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,11]]},"published":{"date-parts":[[2025,11]]},"article-number":"omaf252"}}