TY - JOUR T1 - Small bowel obstruction due to sand ingestion JF - Archives of Disease in Childhood JO - Arch Dis Child SP - 1059 LP - 1059 DO - 10.1136/archdischild-2022-324350 VL - 107 IS - 11 AU - Jennifer M Geraghty AU - Máire Ní Chollatáin AU - Michael Joseph O'Grady Y1 - 2022/11/01 UR - http://adc.bmj.com/content/107/11/1059.abstract N2 - 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 … ER -