Hidden treasure in an endoscopically retrieved oesophageal trichobezoar

Renji, Elizabeth; Nathan, Anand K; Dalzell, Mark

doi:10.1136/bcr-2012-007858

Cited by 2 publications

(1 citation statement)

References 15 publications

(23 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The trichobezoar's weight may exert pressure on the mucosa, exerting a mechanical effect, which may lead to ischemia. The lesser curvature of the stomach is more vulnerable to perforation as Data from (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20).…”

Section: Mechanical Considerationsmentioning

confidence: 99%

Human and Doll's Hair in a Gastric Trichobezoar, Endoscopic Retrieval Hazards

Niță

Hill

Lindley

et al. 2020

J. pediatr. gastroenterol. nutr.

View full text Add to dashboard Cite

Trichobezoars are masses of ingested hair, usually the individual's own hair, that accumulate in the gastrointestinal tract, most commonly in the stomach. When extending into the small intestine, this is termed “Rapunzel syndrome.” Removal has traditionally been by laparotomy; however, successful endoscopic removal has also been described. We report the case of a 9-year-old-girl with undiagnosed coeliac disease and Rapunzel syndrome who underwent endoscopic removal of a large trichobezoar, which was followed by unexpected multiple perforations of the small bowel and stomach. Argon plasma coagulation (APC) and snare electrocautery were employed during endoscopy to remove the trichobezoar piecemeal, and approximately 70% was removed without any clear signs of damage to the mucosa. It was discovered subsequently that about 20 of her dolls were found without hair. On investigating the composition of a specific doll hair from the manufacturer, it was discovered that it could be hazardous if burned. It was, therefore, hypothesized that a constellation of factors had conspired to lead to perforation, that is, the potentially hazardous gas produced from the electrical energy applied to the synthetic hair and possible mucosal damage by the physical abrasion of this hair. A review of the literature on endoscopic attempts to remove trichobezoars irrespective of the result reveals a success rate of 30.7%.

show abstract

Section: Mechanical Considerationsmentioning

confidence: 99%

Human and Doll's Hair in a Gastric Trichobezoar, Endoscopic Retrieval Hazards

Niță

Hill

Lindley

et al. 2020

J. pediatr. gastroenterol. nutr.

View full text Add to dashboard Cite

show abstract

Endoscopic removal of a massive trichobezoar in a pediatric patient by using a variceal ligator cap: A case report and literature review

Berglund

et al. 2022

Front. Med.

View full text Add to dashboard Cite

A trichobezoar is commonly formed in the gastrointestinal tract by ingestion of an individual’s own hair. A trichobezoar formed by hair and artificial materials constitutes a rare etiology scarcely reported in the current literature. A mixture with hair-like synthetic fibers not only increases the risk for trichobezoar formation but also makes it more difficult for endoscopic removal. Herein, we report on a case in which a trichobezoar, caused by the consumption of human hair and synthetic yarn, was successfully removed endoscopically with a variceal ligator cap without further complications for the patient. This case report aims to raise awareness among endoscopists that using a variceal ligator cap may be a suitable option in the management of large trichobezoars containing synthetic fibers.

show abstract

Hidden treasure in an endoscopically retrieved oesophageal trichobezoar

Cited by 2 publications

References 15 publications

Human and Doll's Hair in a Gastric Trichobezoar, Endoscopic Retrieval Hazards

Human and Doll's Hair in a Gastric Trichobezoar, Endoscopic Retrieval Hazards

Endoscopic removal of a massive trichobezoar in a pediatric patient by using a variceal ligator cap: A case report and literature review

Contact Info

Product

Resources

About