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| LETTER TO EDITOR |
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| Year : 2022 | Volume
: 15
| Issue : 2 | Page : 112 |
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Bezoar: An unusual cause of acute surgical abdomen
Mahmood Dhahir Al-Mendalawi
Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq
| Date of Submission | 05-Feb-2022 |
| Date of Acceptance | 06-Feb-2022 |
| Date of Web Publication | 4-Jul-2022 |
Correspondence Address:
Mahmood Dhahir Al-Mendalawi
Consultant Paediatrician, Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, P O Box 55302, Baghdad Post Office, Baghdad
Iraq
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/hmj.hmj_14_22
How to cite this article:
Al-Mendalawi MD. Bezoar: An unusual cause of acute surgical abdomen. Hamdan Med J 2022;15:112 |
Dear Editor,
In October–December 2021 issue of the Hamdan Medical Journal, Ahmad and Hassan[1] nicely described two Indian children with bezoar obstruction presented as acute abdomen. I presume that the following point ought to be considered. There are different types of child abuse (CA) that might be difficult to diagnose, especially in young children with often misleading medical histories.[2] Interestingly, bezoar as a presentation of CA has been reported in the literature.[3] In India, CA is a major concern as the available data pointed out to the alarmingly high prevalence of abuse (89.9%).[4] I, therefore, assume that in-depth evaluation for the conditions that put the two cases in question at risk for abuse and a psychological assessment of the parents seem crucial and proper actions must be implemented to prevent further occurrence of the incident.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | Ahmad F, Hassan Y. Bezoar: An unusual cause of acute surgical abdomen. Hamdan Med J 2021;14:196-8.  [Full text] |
| 2. | Pomeranz ES. Child abuse and conditions that mimic it. Pediatr Clin North Am 2018;65:1135-50. |
| 3. | Armstrong JH, Holtzmuller KC, Barcia PJ. Gastric trichobezoar as a manifestation of child abuse (1). Curr Surg 2001;58:202-4. |
| 4. | Kumar MT, Kar N, Kumar S. Prevalence of child abuse in Kerala, India: An ICAST-CH based survey. Child Abuse Negl 2019;89:87-98 |
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