Bezoar: an uncommun cause of upper gastrointestinal bleeding

Trichobezoar: A Rare Cause of Gastric Obstruction

“…Based on the type of aggregated substance, a distinction is made between: trichobezoar (hair or wool or paper mache), phytobezoar (vegetable fibers), lactobezoar (curdled milk), and pharmaco-bezoar (drugs). 2 Hair is found in more than half of the cases of bezoar with a predilection for the stomach and can extend to the duodenum and even beyond the angle of treitz, thus creating the classic "Rapunzel syndrome." 3 Several disorders intervening at different levels would favor the occurrence of this condition.…”

“…Based on the type of aggregated substance, a distinction is made between: trichobezoar (hair or wool or paper mache), phytobezoar (vegetable fibers), lactobezoar (curdled milk), and pharmaco-bezoar (drugs). 2…”

Duodenal diastatic perforation due to double gastric and jejunal trichobezoar in a patient with Rapunzel syndrome

“…It occurs in young patients with trichotillomania and trichophagia (1). Symptoms are nonspecific and may include abdominal pain, weight loss or anemia (2). Intestinal obstruction and malnutrition are the most frequent complications, and in some cases, upper gastrointestinal bleeding may occur.…”

“…However, acute abdomen due to intestinal perforation is a rare complication (3). Endoscopy can be diagnostic and therapeutic (2), and surgery may be required depending on the size of the bezoar and the presence or absence of associated complications (4,5).…”