{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T07:28:33Z","timestamp":1793172513040,"version":"4.5.0"},"reference-count":36,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2014,6,27]],"date-time":"2014-06-27T00:00:00Z","timestamp":1403827200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Forensic Sciences"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Pica is characterized by the persistent eating of non\u2010nutritive substances over some time that is inappropriate for the maturation stage of the individual and is not culturally sanctioned. A 9\u2010year\u2010old boy with <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>oldenhar syndrome, significant developmental delay and pica, collapsed and died after a short history of diarrhea and vomiting. Death was due to a sigmoid volvulus resulting from filling of the distal colon with feces containing dirt, stones, and rice with evidence of ischemic intestinal necrosis. Lethal complications of pica include intestinal obstruction and perforation with peritonitis and generalized sepsis. Other findings at autopsy may include airway obstruction, heavy metal poisoning, and parasitic infestation. Presenting symptoms and signs of such complications may be subtle or masked given the nature of underlying conditions, and so careful evaluation of the medical histories of individuals with pica may be necessary to provide pertinent details of associated medical and psychiatric conditions.<\/jats:p>","DOI":"10.1111\/1556-4029.12520","type":"journal-article","created":{"date-parts":[[2014,6,27]],"date-time":"2014-06-27T12:18:31Z","timestamp":1403871511000},"page":"1413-1416","source":"Crossref","is-referenced-by-count":20,"title":["A Review of the Forensic Implications of Pica"],"prefix":"10.1111","volume":"59","author":[{"given":"Roger W.","family":"Byard","sequence":"first","affiliation":[{"name":"The University of Adelaide Medical School Frome Road Adelaide SA 5005 Australia"},{"name":"Forensic Science SA 21 Divett Place Adelaide SA 5000 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