BMJ Case Reports 2012; doi:10.1136/bcr-2012-006400
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Unusual cause of small bowel obstruction in an autistic child

  1. Arani V Sridhar
  1. Children's Hospital, Leicester Royal Infirmary, University Hospitals of Leicester NHS Trust, Leicester, UK
  1. Correspondence to Dr Arani V Sridhar, arani.sridhar{at}, sa135{at}
  1. Contributors All the authors have contributed in patient management.


A 10-year-old girl with a background of global developmental delay and autism was admitted to our hospital with vomiting for 10 days. She had not opened her bowels for 5 days. Owing to her developmental delay she was unable to communicate verbally. Examination was unremarkable, including her abdomen which was soft with no distension and no masses felt. Her routine blood tests including full blood count, urea, creatinine, electrolytes, liver function tests and amylase levels were in the normal range. C-reactive protein (CRP) was less than 5. Blood cultures and urine cultures showed no …

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