lisdexamfetamine-dimesylate and Bezoars

Radiopaque densities can be observed on imaging after the ingestion of either foreign bodies or some medications. Our case report discusses an 11-year-old boy with autism spectrum disorder and attention deficient disorder who presented to the emergency department because of concerns for constipation and dehydration. Incidentally, an abdominal x-ray showed numerous radiopaque densities throughout his intestines in addition to his constipation. He was admitted, and his home regimen was reviewed to attempt to identify a potential source for these radiopaque densities. This case presented an interesting teaching opportunity in the identification of the radiopaque densities and review of pharmacokinetics.

Topics: Abdomen; Abdominal Pain; Antidepressive Agents; Attention Deficit Disorder with Hyperactivity; Autism Spectrum Disorder; Bezoars; Child; Constipation; Diagnosis, Differential; Foreign Bodies; Humans; Lisdexamfetamine Dimesylate; Male; Quetiapine Fumarate; Radiography, Abdominal; Tomography, X-Ray Computed