593 The value of antimicrobial peptides and pro-inflammatory cytokines in the cystic fibrosis in children

Abstract

Figure 1B Trichobezoar measuring approximately 30 cm, extending from the stomach to the duodenum Results Trichobezoar is a collection of hair in the gastrointestinal tract, usually, the stomach, caused by chronic hair pulling and ingestion. This condition is called trichotillomania, a mental disorder that typically strikes during adolescence and has a chronic course. Patients who suffer from trichotillomania usually have patchy hair loss, a sign that was absent in our patients. In addition, the patient in our case presented with symptoms that resemble other conditions like intestinal lymphoma and inflammatory bowel disease. Radiological imaging can be diagnostic in 97% of the case; however, in other cases, further investigations and surgical exploration might be warranted. The clinical course in our case was severe indicating the devastating effect trichobezoar can lead to. Conclusion Diagnosis of intestinal obstruction due to trichobezoar may not be straightforward especially in patients who have not been diagnosed with mental diseases or lack the clues on physical examination. Although it is an uncommon cause of intestinal obstruction, it should be included in the differential diagnosis when possible.