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A 3-year-old boy with severe autism spectrum disorder ingested a significant quantity of sand during a trip to the beach. An initial ingestion was witnessed by caregivers, however, it was reported he had stopped quickly and the overall intake of sand was under-appreciated. Four hours later, he passed stool made entirely of compacted sand (online supplemental material 1). He experienced non-bilious vomiting and colicky abdominal discomfort. His abdomen was soft and non-distended. Ten hours post-ingestion, vomiting episodes became bilious and a supine abdominal radiograph demonstrated dilated small bowel loops and radiopaque material in the distal …
Contributors JMG acquired data, wrote the first manuscript draft and approved the final submitted draft. MNC acquired data, revised the manuscript and approved the final submitted draft. MJO conducted the literature review, revised the manuscript critically and approved the final submitted version.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
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