Diagnosis: Patient was found to have practiced “geophagia” after history taking by clinical staff and confirmation via x-ray imaging.

Clinical Presentation:

  • Geophagia is the practice of eating rocks, soil or clay, and may be seen in individuals with pica, a condition characterized by the consumption of nonfood items.
  • Patients with geophagia may present with symptoms such as abdominal pain, constipation, and diarrhea.
  • Geophagia can also lead to complications such as iron-deficiency anemia, lead poisoning, and intestinal obstruction.

Findings on Imaging:

  • Imaging studies such as abdominal x-ray or CT may show evidence of intestinal obstruction or other complications of geophagia.
  • In cases of lead poisoning, imaging studies may show evidence of lead deposits in the bones or organs.

Next Steps in Management:

  • Management of geophagia involves addressing the underlying psychological and behavioral factors that contribute to the condition.
  • Treatment options may include therapy, counseling, and medication.
  • In cases of lead poisoning or other complications, appropriate medical treatment and management may also be necessary.

Key Take Away Points:

  • Geophagia is the practice of eating rocks, soil, or clay and may be associated with pica.
  • Patients with geophagia may present with symptoms such as abdominal pain, constipation, and diarrhea.
  • Imaging studies such as abdominal x-ray or CT can help diagnose complications such as intestinal obstruction.
  • Treatment of geophagia may involve addressing underlying psychological and behavioral factors, and medical management may be necessary in cases of lead poisoning or other complications.

Uploaded by: Dr. Saeed Rad, radiologist to radRounds Radiology Network.