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February 1924

ENTEROLITH AS CAUSE OF CHRONIC OBSTIPATION IN A BREAST-FED INFANT

Author Affiliations

KANSAS CITY, MO.

Am J Dis Child. 1924;27(2):105-109. doi:10.1001/archpedi.1924.01920080012002
Abstract

True intestinal stone in early life is rare. We were unable to find any reported in a child under 6 years of age. The case to be described occurred in an infant exclusively breast-fed, who suffered complete obstruction, and was operated on, at the age of 8 months.

REPORT OF CASE  History.—W. J., a boy, aged 8 months, had been fairly well nourished on the breast, with a monthly gain of 1 pound (453.6 gm.). He had never had an unassisted bowel movement. Meconium was evacuated for first two weeks by rectal irrigation, and fecal matter was not seen in the stool until after the infant was 2 weeks old, when hard fecal masses began to be obtained by irrigation. When castor oil was given, the stools would be liquid, and on one occasion blood was present in stool. During the eight months of the obstinate constipation, numerous laxatives,

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