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Answers to Epilogue questions
  1. David Sinton1,2,
  2. Pamela Dawson1,
  3. Thillagavathie Pillay2,3
  1. 1School of Paediatrics, West Midlands Deanery, West Midlands, UK
  2. 2Neonatal Department, Russells Hall Hospital, Dudley, West Midlands, UK
  3. 3Neonatal Department, New Cross Hospital, Wolverhampton, UK
  1. Correspondence to Dr David Sinton, Department of Child Health, Russells Hall Hospital, Dudley, West Midlands DY1 2HQ, UK; davidsinton{at}

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From questions on page 94.

  1. The diagnosis is gastric lactobezoars without small bowel obstruction. A lactobezoar is a compacted mass of undigested milk concretions and mucous secretions within the gastrointestinal tract. The majority form in the stomach but may be found in upper and lower intestines.1

Lactobezoars are well recognised but rarely reported. A review article from 2012 reported 96 cases published since 1959.1 The peak incidence in neonates was on days 4–10 of life.2

The diagnosis is challenging as the presentation is often non-specific.

In as many as 60% …

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  • Contributors DS and PD drafted the manuscript and collected and analysed data from the reviewed literature. TP provided insights into the pathophysiological mechanisms of lactobezoar formation. DS revised the manuscript and corrected for submission criteria. All authors read and approved the final manuscript.

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.