An Interesting Case of Trichobezoar

Abstract

Trichobezoar is a very rare condition that is usually diagnosed at a late stage due to etiology of the condition. It is usually seen in young females who invariably have a psychiatric disorder like trichotillomania, trichophagia or depression. Here we report a case of trichobezoar which presented in the surgical out-patient department of our hospital.

Simultaneous combined laparoscopic-endoscopic removal of a large gastric trichobezoar and gastric polypectomy

“…Current data propose many therapy solutions such as endoscopy, standard laparotomy, minimal invasive surgery, and even ineffective medical treatment with enzymatic degradation [1,2,9,10].…”

“…Specified sizes of trichobezoars allow their placement in standardized and commercially available endobags. This is also important because laparoscopic approach in trichobezoar treatment may seem less attractive due to possible spilling of contaminated hair into the abdominal cavity [9]. As it is well-known that wound infection even after conventional laparotomy is a frequent complication, bacteriological analysis of a trichobezoar is mandatory [8,9].…”

“…As it is well-known that wound infection even after conventional laparotomy is a frequent complication, bacteriological analysis of a trichobezoar is mandatory [8,9]. Postoperative administration of antibiotics is obligatory [9]. Trichobezoar recurrence is an additional complication and can occur if the underlying psychological condition is not treated [6,8].…”