# A case of lactobezoar: Outpatient management in a neonate

## TL;DR

A 5-month-old infant with a milk blockage in the stomach was successfully treated with a special formula without surgery or hospitalization.

## Contribution

This case demonstrates the successful outpatient management of lactobezoar using a 100% whey formula.

## Key findings

- A lactobezoar was successfully managed with a 100% whey formula without surgery.
- The infant showed improvement without hospitalization or invasive procedures.
- The treatment avoided the need for endoscopy or surgical removal.

## Abstract

A lactobezoar is a conglomerate of undigested and partially digested milk components and is the most common form of bezoar in infants. Described treatments include hospitalization for intravenous fluids and cessation of feeds, endoscopy with administration of N‐acetyl cysteine, and surgical or endoscopic removal. We report a case of a 5‐month‐old infant with a history of prematurity of 28 weeks, with poor feeding and emesis, found to have a gastric lactobezoar on imaging without signs of obstruction that was managed without surgical intervention. This case presentation describes the successful treatment of a patient with 100% whey formula for the treatment of lactobezoar, avoiding invasive treatment and hospitalization.