Gastric Perforation due to Giant Trichobezoar in a 13-Year-Old Child

Marique, Lancelot; Wirtz, Michel; Henkens, Arnaud; Delchambre, Emilie; Rezaï, Monfred; Venet, Christian; Staudt, Jean-Pierre

doi:10.1007/s11605-016-3272-2

Cited by 9 publications

(12 citation statements)

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“…Primary or recurrent cases of trichobezoars may lead to complications such as intussusception[ 4 , 5 ], pancreatitis[ 6 ] and bile duct dilatation[ 4 ]. Significant other complications such as gastric perforation[ 7 , 8 ], peritonitis[ 9 ], and even death[ 10 ] have also been reported. Despite the potential for significant complications and mortality, there is still a lack of any specific and comprehensive guidelines on appropriate postoperative follow-up for patients with Rapunzel syndrome to reduce the risk of recurrence[ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Rapunzel syndrome is not just a mere surgical problem: A case report and review of current management

Obinwa¹,

Cooper²,

Khan³

et al. 2017

WJCC

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Recurrent Rapunzel syndrome (RRS) is a rare clinical presentation with fewer than six cases reported in the PubMed literature. A report of RRS and literature review is presented. A 25-year-old female was admitted to hospital with a 4-wk history of epigastric pain and swelling. She had a known history of trichophagia with a previous admission for Rapunzel syndrome requiring a laparotomy nine years earlier, aged 16. Psychological treatment had been successfully achieved for nine years with outpatient hypnotherapy sessions only, but she defaulted on her last session due to stressors at home. The abdominal examination demonstrated an epigastric mass. Computer tomography scan revealed a large gastric bezoar and features of aspiration pneumonia. The patient underwent emergency open surgical laparotomy for removal as the bezoar could not be removed endoscopically. The bezoar was cast in a shape that mimicked the contours of the stomach and proximal small bowel, hence the diagnosis of RRS. The patient was seen by a psychiatrist and was commenced on Quetiapine before discharge. She continues to attend follow-up.

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Section: Introductionmentioning

confidence: 99%

Rapunzel syndrome is not just a mere surgical problem: A case report and review of current management

Obinwa¹,

Cooper²,

Khan³

et al. 2017

WJCC

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“…La mayoría de los casos corresponden a tricobezoares, que son hallazgos de cabello encontrados en el estómago secundarios a la tricotilomanía y a la tricofagia. 7 La incidencia de esta enfermedad es rara y solo se han reportados algunos casos en el mundo; 8 el 90 % se presentan en mujeres, y el 80 % de estos ocurren en menores de 30 años, 9 a diferencia de nuestro caso, en el que llama la atención que ocurre en una paciente de sexo femenino en edad escolar. En la literatura, hay muy pocos casos reportados en este grupo etario.…”

Section: Discussionunclassified

Tricobezoar gastroduodenal en la edad escolar. Caso clínico

Peña¹,

Espinosa-Moreno²,

Barrios-Torres³

et al. 2019

Arch Argent Pediat

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Presentación de casos clínicos RESUMEN Los bezoares son acumulaciones de sustancias orgánicas en el tracto gastrointestinal. El tricobezoar hace referencia a la acumulación de cabello, por lo general, en el estómago e incluso más allá de este (síndrome de Rapunzel). La incidencia de esta enfermedad es extremadamente rara; el 90 % de los casos se presentan en las mujeres, y el 80 % de estos ocurren en menores de 30 años y se encuentran relacionados con conductas de ansiedad y trastornos psiquiátricos. El abordaje integral en estos pacientes es fundamental, junto con el seguimiento interdisciplinario, para tratar las causas psicoemocionales subyacentes y realizar una adecuada psicoeducación con los pacientes y sus familiares, para disminuir el riesgo de posibles recidivas. Se presenta el caso clínico de una paciente en edad escolar, con antecedente de maltrato físico por parte de su padrastro y posteriores conductas ansiosas (tricotilomanía y tricofagia).

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“…Для этих целей используют резиновые и силиконовые протекторы, защищающие операционную рану, а также различные модификации гастрокутанеопексии, предотвращающие попадание содержимого безоаров в брюшную полость. [8,13,14].…”

Section: Russian Journalunclassified

Laparoscopic Treatment of Gastric Trichobezoar

Shidakov¹,

Шидаков²,

Kalniyazov³

et al. 2019

jour

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Purpose: to report a case of a giant stomach trichobezoar successfully treated with a laparoscopic technique. Methods. A 14-year-old girl with signs of partial upper gastrointestinal obstruction was admitted to the hospital. Stomach trichobezoar was found during an endoscopic examination. The child was discharged following conservative therapy, as her parents gave no consent to surgery. In 2 months, she was admitted to the hospital again for planned surgery. Result. Gastrotomy was performed laparoscopically. Giant bezoar was removed from the stomach, placed in an endosac and then removed from the abdominal cavity through a Pfannenstiel incision. No postoperative general or wound complications were found. The patient recovered and was discharged. Conclusion. Treatment of stomach trichobezoars should be surgical. The method depends on a certain case. We believe that laparoscopy is more useful as compared to open surgeries and recommend it in uncomplicated forms of stomach trichobezoars.

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Gastric Perforation due to Giant Trichobezoar in a 13-Year-Old Child

Cited by 9 publications

References 1 publication

Rapunzel syndrome is not just a mere surgical problem: A case report and review of current management

Rapunzel syndrome is not just a mere surgical problem: A case report and review of current management

Tricobezoar gastroduodenal en la edad escolar. Caso clínico

Laparoscopic Treatment of Gastric Trichobezoar

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