Dataset Information

Ingestion of kinetic sand leading to intussusception and bowel obstruction in a child: a case report.

ABSTRACT:

Background

Kinetic sand is a type of play sand that is marketed to children above the age of three years old. It is comprised of sand coated with silicone oil, holding its shape when squeezed or pressed. It is described as a non-toxic, hypoallergenic, safe sand for arts and crafts, and is highly appealing due to its realistic appearance and odor. We present the first reported case of bowel obstruction due to small and large bowel intussusceptions caused by ingestion of kinetic sand leading to hospitalization for medical treatment in a young girl.

Case description

We present a two-year-old female patient with a past medical history of autism, trichotillomania, and pica who presented to our hospital as a transfer for two days of abdominal pain and non-bloody bilious emesis. Radiographic workup included abdominal ultrasound, abdominal X-ray, and computed tomography that revealed both small bowel intussusceptions and colo-colonic intussusception. Fluoroscopic gastrografin enema was performed and yielded free reflux of contrast into the distal ileum. The admitted patient continued to pass the sand with an eventual resolution of abdominal pain.

Conclusions

Intussusception is considered a medical emergency and should be treated as soon as possible before potentially fatal complications occur. This report serves to highlight the potential dangers of kinetic sand ingestion and provide guidance for the management of intussusception and bowel obstruction after kinetic sand ingestion in the pediatric population.

SUBMITTER: Turner A

PROVIDER: S-EPMC10789891 | biostudies-literature | 2024

REPOSITORIES: biostudies-literature

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Publications

Ingestion of kinetic sand leading to intussusception and bowel obstruction in a child: a case report.

Turner Acara A Sico Rita R Seifarth Federico G FG

AME case reports 20231121

<h4>Background</h4>Kinetic sand is a type of play sand that is marketed to children above the age of three years old. It is comprised of sand coated with silicone oil, holding its shape when squeezed or pressed. It is described as a non-toxic, hypoallergenic, safe sand for arts and crafts, and is highly appealing due to its realistic appearance and odor. We present the first reported case of bowel obstruction due to small and large bowel intussusceptions caused by ingestion of kinetic sand leadi ...[more]

PMID: 38234341

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Project description:BackgroundAscariasis, caused by the parasitic nematode Ascaris lumbricoides, is estimated to affect just under 900 million people globally, the majority of whom are children. Infections are most common in impoverished regions with poor water, sanitation, and hygiene, as transmission is reliant upon the ingestion of eggs excreted in feces found in contaminated soil.Case presentationAn 8-year-old Black African boy from the Sidama region, southern Ethiopia, presented at Adare General Hospital with a 3-day history of vomiting, abdominal pain, distension, and inability to pass stool or gas. Ultrasound confirmed a small bowel obstruction caused by a bolus of A. lumbricoides, which was successfully removed by surgical intervention via laparotomy and enterotomy. Postoperative treatment included the administration of anthelmintics and antibiotics, which led to stable recovery, with normal bowel function observed 1 month after surgery. The child's socioeconomic status, environmental conditions, and lack of knowledge about ascariasis transmission likely contributed to this severe infection, leading to the occurrence of the small bowel obstruction. Critically, his family lacked sanitation facilities, practiced open defecation, and consumed untreated surface water. The family did not participate in recent mass drug administration campaigns and had poor awareness of hygiene practices, highlighting gaps in the current national neglected tropical disease control program and deficiencies in public health education.ConclusionDespite Ethiopia's national deworming program being in existence since 2015, the lack of adequate water, sanitation, and hygiene infrastructure and awareness of risk-reducing behaviors, including participation in mass drug administration campaigns, has culminated in the continuation of A. lumbricoides transmission in many communities in Ethiopia. Enhanced mass drug administration coverage and robust water, sanitation, and hygiene interventions are the major goals of efforts in Ethiopia to reduce the national worm burden and prevent occurrence of severe complications such as small bowel obstruction caused by significant build-up of worms. As the presented case highlights, continuous community health education is essential for long-term control, as it increases mass drug administration participation and emphasizes the importance of good hygiene practices within communities. Fine-scale parasitological mapping and regular epidemiological assessments are necessary to identify high-risk families and communities and implement necessary treatment strategies.

Dataset Information

Ingestion of kinetic sand leading to intussusception and bowel obstruction in a child: a case report.

Background

Case description

Conclusions

Publications

Ingestion of kinetic sand leading to intussusception and bowel obstruction in a child: a case report.

Similar Datasets

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