Occlusion iléale récidivante par trichobézoar chez une enfant de 5ans

Blue and red Doppler jet on the echocardiogram

“…1,2 The bifurcation of the vessel into two arteries signifies that these are the branch pulmonary arteries, yet they arise from the left ventricle, making the diagnosis of TGA (a complete echocardiogram should always be done to confirm the diagnosis). 3,4 There is an intact ventricular septum in this view, and the lack of colour Doppler turbulence in the main pulmonary arterybeing a uniform deep blueconfirms lack of PS.…”

“…GI obstruction secondary to trichophagia is well documented, and in extreme forms (Rapunzel syndrome) [1][2][3] the bezoar extends as a rat's tail into the small intestine. 4 Removal may require endoscopy, 5 laparoscopy or laparotomy. Bezoars should be considered amongst the differential diagnoses in children with unexplained symptoms of a GI obstruction, even in the very young age.…”

“…1,2 The bifurcation of the vessel into two arteries signifies that these are the branch pulmonary arteries, yet they arise from the left ventricle, making the diagnosis of TGA (a complete echocardiogram should always be done to confirm the diagnosis). 3,4 There is an intact ventricular septum in this view, and the lack of colour Doppler turbulence in the main pulmonary arterybeing a uniform deep blueconfirms lack of PS.Answer 2The answer is 3: Atrioventricular valve (AV) canal defect.The red blood flow jet on Doppler shows a wide AV canal area with blood from the left atrium into both ventricles. 5,6 The infant had Trisomy 21.…”

An unexpected percutaneous gastro‐jejunostomy obstruction

“…GI obstruction secondary to trichophagia is well documented, and in extreme forms (Rapunzel syndrome) [1][2][3] the bezoar extends as a rat's tail into the small intestine. 4 Removal may require endoscopy, 5 laparoscopy or laparotomy. Bezoars should be considered amongst the differential diagnoses in children with unexplained symptoms of a GI obstruction, even in the very young age.…”

“…GI obstruction secondary to trichophagia is well documented, and in extreme forms (Rapunzel syndrome) 1–3 the bezoar extends as a rat's tail into the small intestine 4 . Removal may require endoscopy, 5 laparoscopy or laparotomy.…”