Keto-Bezoar: Adverse Event Related to Initiation of Ketogenic Diet in an Infant

Cassandra Stegall; Melissa C Evans; Laura E Hollinger; Alice A Walz

doi:10.1097/PG9.0000000000000179

Keto-Bezoar: Adverse Event Related to Initiation of Ketogenic Diet in an Infant

JPGN Rep. 2022 Feb 25;3(2):e179. doi: 10.1097/PG9.0000000000000179. eCollection 2022 May.

Authors

Cassandra Stegall¹, Melissa C Evans², Laura E Hollinger³, Alice A Walz²

Affiliations

¹ From the Department of Pediatrics, Medical University of South Carolina, Charleston, SC.
² Division of Critical Care, Department of Pediatrics, Medical University of South Carolina, Charleston, SC; and.
³ Division of Pediatric Surgery, Department of Surgery, Medical University of South Carolina, Charleston, SC.

Abstract

The ketogenic diet is frequently used as part of the treatment regimen for pediatric patients with refractory epilepsy. This diet is generally well tolerated, with constipation being the most described side effect. This case highlights a previously undocumented severe complication of a "keto-bezoar" formation related to the initiation of the ketogenic diet in a young infant.

Keywords: abdominal compartment syndrome; epilepsy; ketogenic diet; pediatric.

Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition.

Publication types

Case Reports