Eyer de Jesus et al.Tricobezoares 159 Vol. 32 -Nº 3, Mai. / Jun. 2005 Consulta e seguimento psiquiátrico são fundamentais, especialmente considerando a necessidade de evitar recidivas do quadro ou a substituição da tricotilomania por outros distúrbios compulsivos substitutivos 30 , mesmo em pacientes em que problemas comportamentais não são óbvios. A forma de terapia necessária será individualizada, de acordo com a psicodinâmica de cada paciente, e freqüentemente serão necessários apoios terapêuticos familiares e pelos serviços de assistência social. Figura 4 -Tricobezoar em tomografia computadorizada: massa intraluminal heterogênea contendo bolsões de ar em estômago (1) com extensão para duodeno (2).Figura 5 -Tricobezoar gástrico com extensão duodenal, moldado conforme corpo e antro gástricos, piloro e bulbo duodenal. ABSTRACT The objective of this article is to study the clinical presentation and diagnostic indexes for pediatric trichobezoars based on clinical cases and literature review. The abdominal tetrad of subacute pain, epigastric mass, ponderal loss and trichophagia strongly suggests the diagnosis of trichobezoar in pediatric patients. Behaviour problems are the rule, but there isn't always a previous psychiatric diagnosis. Treatment is surgical and psychiatric long-term follow-up is necessary (Rev. Col. Bras. Cir. 2005; 32(3): 157-160).
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