Surgical treatment of gastric outlet obstruction from a large trichobezoar: A case report

Chahine, Elias; Baghdady, Ramez; Kary, Nader El; Dirani, Mazen; Hayek, Marylene Samia El; Saikaly, Elias; Chouillard, Élie

doi:10.1016/j.ijscr.2019.04.002

Cited by 6 publications

(9 citation statements)

References 9 publications

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“…Trichophagia and trichobezoar are extensively reported in surgical and medical literature,[ 1 4 5 7 ] whereas, only few cases are found in psychiatric literature. [ 8 9 ] Trichophagia is usually associated with many psychiatric disorders, such as anxiety and depressive disorders, obsessive-compulsive neurosis, pica, body dysmorphic disorder, anorexia nervosa, and especially trichotillomania.…”

Section: Discussionmentioning

confidence: 99%

“…If timely diagnosis and management of a trichobezoar is not done, it may lead to various complications, such as gastric ulceration, obstructive jaundice, acute pancreatitis, gastric emphysema, iron deficiency, and megaloblasticanemia. [ 7 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 6 ] Surgical intervention is often needed in the management of large trichobezoars. [ 7 ] If adequate psychiatric intervention and support are not provided to the patient after the surgical treatment, probability of recurrence of trichobezoar are increased.…”

Section: Introductionmentioning

confidence: 99%

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Trichobezoar without a clear manifestation of trichotillomania

Jain

Agrawal

Tripathi

et al. 2020

J Family Med Prim Care

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Trichophagia is a compulsive condition characterized by eating hair, mostly seen in adolescent females. Persistence of ingestion of hair over many years results in the formation of trichobezoar. Surgical intervention is often needed in the management of large trichobezoars. We present a case of a 23 year old female with trichophagia which led to the formation of gastric trichobezoar. The patient reported with complaints of pain in abdomen for past 1–2 years, and loss of appetite and vomiting post meals for 6 months. On detailed examination, a diagnosis of trichobezoar was formed which was removed by laparotomy with gastrotomy under general anaesthesia. Psychiatric evaluation revealed a history of fluctuating mood symptoms during her childhood and depressive symptomatology presently without any associated urge of plucking hair and subsequent gratification. Hence, the management of the disease requires proper liaison between the surgeon, psychiatrist, and caregivers of the patient; and regular psychiatric follow-up and treatment of the underlying psychopathology to prevent the recurrent formation of bezoar.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Trichobezoar without a clear manifestation of trichotillomania

Jain

Agrawal

Tripathi

et al. 2020

J Family Med Prim Care

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“…Bezoars represent a undigested mass within the gastrointestinal tract which enter the stomach by swallowing non-absorbable materials [1,2]. It could increase in size passing further into the small intestine [1,2]. Trichobezoars are rare clinical entity, but they have been known…”

Section: Introductionmentioning

confidence: 99%

“…They are consist of a bunch of hairs in the proximal gastrointestinal tract [1][2][3][4][5][6][7]. Hairs enter the stomach by compulsive swallowing, the disorder is called trichotillomania [7].…”

Section: Introductionmentioning

confidence: 99%

Multidisciplinary treatment of massive trichobezoar caused an acute gastric outlet obstruction

Lončar

Vasin

Ristic³

et al. 2023

Srp Arh Celok Lek

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Introduction. Trichobezoars presents a rare form of bezoar made of swallowed hair, with clinical manifestation of gastric or intestinal obstruction, gastric ulceration, bleeding, and perforation. It is predominantly found in emotionally disturbed or mentally retarded youngsters, who eating their own hair which is clinically known as trichophagia. Patients often deny eating their own hair which makes diagnosis difficult. Case report. We are presenting a case of acute gastric outlet obstruction caused by giant gastric trichobezoar made of a long thin hair, in a 20-year young female. Although patient had a long history of trichophagia, she didn't think her behavior was unusual and she has not been treated before. Followed initial diagnostic procedures, exploratory laparotomy was indicated. After anterior gastrotomy was performed, a massive stomach-shaped trichobezoar was removed. Postoperatively patient had a psychiatric consult exam. She recovered well and discharged without complications. She was referred for further psychiatric follow-up. Conclusion. Trichobezoars are non-digestible collections that usually accumulates in stomach and can extend to small bowel, causing mechanical injury such as hollow viscus obstruction. Patients with acute gastric obstruction caused by a giant trichobezoar require urgent removal of the trichobezoar, to preserve the stomach and avoid further, catastrophic consequences.

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The Efficacy of Using Psychotherapy Interventions to Minimize Symptoms of Trichotillomania and Trichophagia: A Scoping Review

Sabra,

Al Kalaldeh,

Alnaeem

et al. 2023

J Contemp Psychother

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Surgical treatment of gastric outlet obstruction from a large trichobezoar: A case report

Abstract: Highlights Trichobezoar is a rare disorder that almost exclusively affects young females. We present a review of the main characteristics of this disease with a case of gastric outlet obstruction. A treatment should be coupled to psychiatric evaluation and therapy to prevent recurrence.

Cited by 6 publications

References 9 publications

Trichobezoar without a clear manifestation of trichotillomania

Trichobezoar without a clear manifestation of trichotillomania

Multidisciplinary treatment of massive trichobezoar caused an acute gastric outlet obstruction

The Efficacy of Using Psychotherapy Interventions to Minimize Symptoms of Trichotillomania and Trichophagia: A Scoping Review

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