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Pica and the radiologist - beyond the radiology report … digging deeper.

Authors
  • Kalgaonkar, Sameer R1
  • Ramakantan, Ravi1
  • 1 Department of Radiology and Imaging, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India. , (India)
Type
Published Article
Journal
Indian Journal of Radiology and Imaging
Publisher
Medknow Publications
Publication Date
Jan 01, 2018
Volume
28
Issue
3
Pages
330–332
Identifiers
DOI: 10.4103/ijri.IJRI_48_18
PMID: 30319211
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Pica is a psychological disorder of intentional and craving consumption of non-nutritive substances over a period of time. This is seen at an age when such a behavior is developmentally inappropriate. Substances such as wall paint, soil, hair, and feces have been reported as being consumed. Complications of this condition may range from being self-limiting to life-threatening. Radiological examinations play a crucial role in the diagnosis and management of this condition. We present a case of a 9-year-old boy who presented with chronic abdominal pain with history of persistent consumption of pencil erasers. Abdominal radiographs showed radio-opaque foreign bodies, and etiological diagnosis was made when the radiologist obtained a detailed history from the patient's mother. We also discuss the radiographic evaluation of the pencil eraser and the reason why it is densely radio-opaque.

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