Crave ends in grave – geophagia: A case report

This is a case of acute toxic dilation of the bowel loops resulting in a toxic megacolon with a rapidly fatal outcome in a 12-year-old girl with habitual intake of chalk pieces. The child presented with acute abdominal pain, abdominal distension, and intense thirst before death. On examination, dilated bowel loops were seen pushing the diaphragm into the thoracic cavity. Histopathology showed extensive erosions and focal atrophy of mucosal glands. Geophagia is likely to result in various abdominal complications, and one such resulting complication seen here in this report is toxic megacolon, further complicated by electrolyte disturbances and decreased cardiac output, causing death. This case report highlights the importance of recognising geophagia as a potential health risk and the need for comprehensive management strategies. Through this case, we aim to promote better understanding and research into the complex aetiology and consequences of geophagia.