Reporting a Case of Gastric Lactobezoar - Ultrasound Diagnosis

Gastric lactobezoars are found in neonates and diagnosed with the help of imaging modalities in the
background of clinically presenting features.Inspissated milk mixes with the mucous and leads to ball
like semisolid mass formation. The preterm infants are usually brought with abdominal swelling with or
without features of intestinal obstruction. The condition is comparatively rare in children of higher age
group. We present a 3-year-old male child who had a history of abdominal pain and swelling with
occasional episodes of vomiting. Ultrasonography abdomen had shown some mass in stomach which
was confirmed on subsequent barium and computerized tomography studies. He was fully recovered
after the endoscopic conservative management with N-acetylcystein. The present case gains little
more importance because of different age and sex group. Lactobezoars are very rare in toddlers as
these are mostly found in preterm infants who are fed with formula feeds. The infant shows the signs
of the abdominal distension and pain with or without vomiting. The diagnosis can be made with simple
US. The majority of children are treated conservatively with NAC. Recurrence is not that common.