A rare clinic entity: Huge trichobezoar

Abstract

HighlightsTrichobezoar is a rare clinical entity in which a ball of hair amasses within the alimentary tract, mainly in stomach.Trichobezoars should be suspected in young females with long standing upper abdominal masses; as the possibility of malignancy is not very common in this age group.While ultrasound is inconclusive, trichobezoar can be accurately diagnosed with computed tomography.Convenient approach of treatment should be selected depending on the size and site of trichobezoars followed by psychiatric consultations in order to prevent its relapses.

Trichobezoar – A Case Report of Rapunzel Syndrome

“…It is more common in teenage females. 4,5 Adding to the difficulty in diagnosis, history of trichophagia is present in only half of the cases. 2 Clinical suspicion together with the help of radiological imaging, early diagnosis of this condition can be made.…”

“…Though x-ray and USG are the initial imaging modalities, they are often non-specific and inconclusive. 4,5 CECT is the imaging modality of choice in patients with suspected clinical history and imaging findings. 5 It can demonstrate bezoar as heterodense, non-enhancing, well defined, intraluminal content with mottled appearance.…”

“…4,5 CECT is the imaging modality of choice in patients with suspected clinical history and imaging findings. 5 It can demonstrate bezoar as heterodense, non-enhancing, well defined, intraluminal content with mottled appearance. Besides diagnosis, the other advantages of CECT include precise demonstration of the extent of the bezoar, its complications like obstruction and perforation.…”

“…Besides diagnosis, the other advantages of CECT include precise demonstration of the extent of the bezoar, its complications like obstruction and perforation. 5 Once the diagnosis is made, endoscopic removal of the content may be tried but most cases require surgical intervention in the form of laparoscopy, endoscopy or laparotomy depending on the size and location. 3,5 Recurrence has been reported, especially in patients in whom no psychiatric treatment had been initiated 4 and hence counselling should be offered in all such cases of Rapunzel syndrome.…”

Unusual case of giant trichobezoar of the stomach treated successfully with the use of miniinvasive techniques

“…Безоары желудочно-кишечного тракта (ЖКТ) являются патологией, крайне редко встречающейся в практической деятельности хирурга. По своему происхождению безоары подразделяются на фито-, стибо(себо)-, трихобезоары, а также инородные тела органического (смола, гудрон, минерализация сгустка крови в просвете желудка) или эмбрионального происхождения [1,2]. При этом наиболее частой находкой следует считать фитобезоары (до 70-75% наблюдений), которые, как правило, отмечаются в общей популяции, в то время как трихобезоары, представляющие конгломерат волос и пищевых масс, являются следствием трихотилломании и регистрируются чаще всего у контингента с эмоциональной лабильностью, а также вялотекущей шизофренией [1,[3][4][5][6].…”