Trichobézoard gastrique: à propos d’un cas

Ezziti, Maryame; Haddad, F.; Tahiri, Mohamed; Hliwa, W.; Bellabah, A.; Badre, Wafaa; Haddouch, Rabii; Hattbi, Khalid El; Elfriyekh, Mohamed Rachid; Fadil, Abdelaziz

doi:10.11604/pamj.2017.26.74.11826

Cited by 7 publications

(9 citation statements)

References 17 publications

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“…For uncomplicated forms or forms complicated by hemorrhage, the reference examination requested in the first line remains the EGD which allows a dual role both diagnostic and therapeutic [2] , [3] , [9] .Diagnosis of complicated forms is based on urgently requested imaging.The abdominal X-ray without preparation is a non-specific examination that may show hydroaeric levels in order to confirm a clinical diagnosis of occlusion or an image of pneumoperitonium synonymous to gastro-intestinal perforation. Abdominal ultrasound, visualizing a superficial band, hyperechogenic, curvilinear with a posterior shadow cone leads to correct diagnosis in 25% of cases [13] .…”

Section: Clinical Discussionmentioning

confidence: 99%

Trichobezoar: A case report of a double gastric and ilial localization revealed by an occlusion

Khalifa

Ghannouchi

Nacef

et al. 2022

International Journal of Surgery Case Reports

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Introduction and importance A bezoar is an agglutination of ingested materials forming an indigestible and insoluble mass inside the gastrointestinal tract. Trichobezoars formed by ingested hair are rare. The stomach tends to be the typical location. In some cases there is an extension to the duodenum, jejunum or even to the colon and it is called Rapunzel syndrome. Case presentation We present a case of an occlusion due to double trichobezoars in 17 years old woman who underwent an extraction by enterotomy and gastrotomy. Clinical discussion Trichobezoar is a compact conglomeration of swallowed hair and makes up less than 6% of all bezoars. It appears in young women under 20 years of age who carry psychiatric or chronic metabolic diseases that can alter the behavioral balance. Physical examination is often poor in uncomplicated forms: forms without peritonitis or occlusion or hemorrhage or appendicitis or pancreatitis but it may reveal a well-limited, smooth, firm, and mobile epigastric mass. For uncomplicated forms or forms complicated by hemorrhage, the reference examination requested in the first line remains the esophagogastroduodenoscopy (EGD) which allows a dual role both diagnostic and therapeutic. Computed Tomography (CT) remains the preferred imaging modality requested urgently in case of an occlusion or peritonitis presentation. Endoscopic extraction represents the therapeutic approach for uncomplicated forms but surgical treatment remains the main therapeutic means of trichobezoar. Conclusion Trichobezoars are rare and present both diagnostic and therapeutic challenge. Laparotomy remains the most successful surgical treatment although laparoscopy currently appears to have promising results in expert hands. A post-operative pscychologic management is essential to correct psychobehavioral disorders of patients to prevent recurrence.

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Section: Clinical Discussionmentioning

confidence: 99%

Trichobezoar: A case report of a double gastric and ilial localization revealed by an occlusion

Khalifa

Ghannouchi

Nacef

et al. 2022

International Journal of Surgery Case Reports

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“…Psychological pathologies are sometimes found such as psychomotor retardation or isolation, but only 9% of children with trichobezoar are reported to have real psychiatric problems. The trichobezoar is most often gastric, but it can extend to the small intestine or even the transverse colon [ 3 ]. In our case, the patient had a phytobezoar, which is a compact mass of fibers, seeds, plant roots that collect in the stomach or intestine.…”

Section: Discussionmentioning

confidence: 99%

Phytobezoar: An unusual cause of small bowel obstruction

Bouali

Ballati

Bakouri

et al. 2021

Annals of Medicine and Surgery

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Phytobezoars are concretions of indigested fruit and vegetables fibers in the gastrointestinal tract. The past of gastric surgery is most common risk factor of phytobezoar. We present the case of a 39-year-old female was admitted to the emergency department and who presented with small bowel obstruction due to phytobezoar, her past medical history was marqued by truncal vagotomy and simple suture recurrent perforated gastric ulcer 15 years earlier. Her postoperative recovery was uneventful.

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“…The bezoar is defined as any ingested but undigested substance accumulating as a solid mass in the digestive lumen, most often gastric. [ 1 2 ] The extension in the small intestine is quite exceptional, and represents a source of threatening complications, thus realising Rapunzel syndrome,[ 3 ] thus representing 2%–3% of all the aetiologies of small intestinal obstruction. [ 4 ] Its diagnosis is mainly based on imaging.…”

Section: Introductionmentioning

confidence: 99%

Rapunzel Syndrome

Nasri

Ammor

Bendaoud

et al. 2023

African Journal of Paediatric Surgery

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Despite numerous cases of trichobezoars reported in the literature, few Rapunzel syndromes have been described. Rapunzel syndrome is a rare case of bowel obstruction resulting from hair ingestion (trichobezoar). The obstruction can occur in any level of the intestinal tract. This syndrome is usually reported in patients affected by trichotillomania and trichophagia. We reported a case of Rapunzel syndrome in a 5-year-old girl diagnosed on an abdominal computed tomography scan and confirmed during surgery.

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Trichobézoard gastrique: à propos d’un cas

Cited by 7 publications

References 17 publications

Trichobezoar: A case report of a double gastric and ilial localization revealed by an occlusion

Trichobezoar: A case report of a double gastric and ilial localization revealed by an occlusion

Phytobezoar: An unusual cause of small bowel obstruction

Rapunzel Syndrome

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