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Article |

Lactobezoars—A Simple Therapy

MICHAEL A. SULLIVAN, MD; ROBERT T. SMITH, MD
Am J Dis Child. 1977;131(7):813. doi:10.1001/archpedi.1977.02120200093023.
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Bezoars in the stomachs of infants are unusual; however, lactobezoars consisting of thickened masses of milk coagulum have been reported. The following case report is an example.

Report of a Case.—A 7-week-old male infant was admitted to Ochsner Foundation Hospital on Sept 20, 1974; for evaluation of fever, projectile vomiting, and diarrhea of three days' duration. Jaundice had occurred in the early perinatal period. Intermittent temperature elevations of up to 39 C rectally began at approximately 14 days of age, and continued to the present admission. During a hospitalization several weeks earlier, nephrogenic diabetes insipidus had been diagnosed. The physical examination did not reveal major dehydration, nor were there any abdominal masses.

The child had been receiving Enfamil (the concentrated liquid formula with iron, apparently in the correct dilution, by history) since approximately 1 week of age. There was no history of any other type of formula being used.

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