An Unusual Cause of Iron Deficiency Anemia and Abdominal Pain in a Young Female

Demırel, Arif Hakan; Akbal, Erdem; Köklü, Seyfettin; Kuru, Serdar; Çakal, Başak; Dönmez, Mustafa

doi:10.1177/000313481107700144

Cited by 4 publications

(1 citation statement)

References 6 publications

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“…Trichobezoars are mainly confined to the stomach however, as the hair ball gets too large to leave the stomach, gastric atony may result. The growing mass effect of the ball can sometimes be sufficient to cause chronic malnutrition and iron deficiency anemia, like in our case [29]. Rarely there is extension of the hair ball from the stomach into the small intestine and colon.…”

Section: Discussionmentioning

confidence: 67%

Giant Trichobezoar: A Rare Cause of Gastric Outlet Obstruction

Sharma¹

2018

IJSST

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Bezoars are uncommon conglomerates made up of foreign bodies like vegetable fibers, hair, inspissated/formula milk, semi-fluid medications or pills etc. in the alimentary tract of humans and certain animals. These elements remain undigested by the gastric fluids resulting in their accumulation within the gastrointestinal tract, most commonly the stomach and proximal portions of the small bowel. Presented here is an unusual case of giant trichobezoar due to trichophagia in the absence of trichotillomania in a 16-year-old girl who presented with a palpable epigastric mass along with symptoms of gastric outlet obstruction.

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Section: Discussionmentioning

confidence: 67%

Giant Trichobezoar: A Rare Cause of Gastric Outlet Obstruction

Sharma¹

2018

IJSST

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Large gastric trichobezoar causing failure to thrive and iron deficiency anaemia in an adolescent girl: a case report emphasising the imaging findings and review of the literature

Lyons

2019

BJR|case reports

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Failure to thrive, iron deficiency anaemia and abdominal pain are common paediatric presentations to general practitioners, outpatient clinics and are often referred to emergency departments. When young female patients suffering from psychiatric disorders, such as trichotillomania and trichophagia present to medical practitioners, the rare diagnosis of a trichobezoar, which is an accumulation of indigestible human hair in the gastrointestinal tract (90 % occurring in the stomach) needs to be suspected. Imaging is the mainstay of trichobezoar diagnosis and requires accurate interpretation to prevent complications. A case of a 14-year-old girl is presented, who was referred from paediatric outpatient clinics for an elective admission to the emergency department. She presented with abdominal pain, iron deficiency anaemia, failure to thrive and an epigastric/left upper quadrant mass felt on examination. A large trichobezoar was found on CT images, confirmed on endoscopy and removed with an open laparotomy. However, on the work-up imaging modalities, the radiologists missed the subtle findings of a trichobezoar. Although uncommon, trichobezoars should be considered as a differential diagnosis in female paediatric patients with a psychiatric history, who present with abdominal pain and epigastric mass. Imaging is the mainstay for trichobezoar diagnosis. As such, radiologists need to be familiar with the apparent, and subtler, pathological findings of this diagnosis and possible differential diagnoses across all imaging modalities. After successful treatment, psychiatric consultation and treatment is imperative in order to prevent reoccurrence.

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A rare outcome of iron deficiency and pica: Rapunzel syndrome in a 5-year-old child

İşlek

Sayar²,

Yılmaz³

et al. 2014

Turk J Gastroenterol

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Bezoar is defined as the accumulation of organic or nonbiological substances inside the gastrointestinal system. Trichobezoars are the most frequently detected ones and are mostly present in patients with neuropsychiatric disorders. The continuance of the trichobezoar tail-shaped extension over the duodenum and jejunum is described in Rapunzel syndrome. Both conditions are rarely reported in children. The present case submitted here is related to a 5-year-old girl referred with an abdominal mass and anemia, diagnosed with Rapunzel syndrome and developing trichobezoar due to iron deficiency and pica.

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An Unusual Cause of Iron Deficiency Anemia and Abdominal Pain in a Young Female

Cited by 4 publications

References 6 publications

Giant Trichobezoar: A Rare Cause of Gastric Outlet Obstruction

Giant Trichobezoar: A Rare Cause of Gastric Outlet Obstruction

Large gastric trichobezoar causing failure to thrive and iron deficiency anaemia in an adolescent girl: a case report emphasising the imaging findings and review of the literature

A rare outcome of iron deficiency and pica: Rapunzel syndrome in a 5-year-old child

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