Trichobezoar with small bowel obstruction in children: Two cases report

Khattala, Khalid; Boujraf, Saïd; Rami, Mohammed; Elmadi, Aziz; Afifi, A; Sbai, Hicham; Harandou, Mustapha; Bouabdallah, Youssef

doi:10.4103/0189-6725.41639

Cited by 7 publications

(5 citation statements)

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“…Trichobezoars are diagnosed almost exclusively in adolescent females, although cases of several-years-old children were also reported [ 4 , 5 ]. Trichobezoars are very rarely detected in young male patients [ 6 – 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…Usually, trichobezoars develop within the stomach, although locations within the small intestine are also possible [ 5 , 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…Frequently, patients report due to trichobezoar complications including gastric ulceration, obstructive jaundice, intestinal perforation, acute pancreatitis, stomach dilatation, intestinal intussusception, or peritonitis. Bezoar-related intestinal obstruction is rare [ 5 , 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…Recurrent bezoars as well as recurrent Rapunzel syndrome have been reported, most commonly in patients in whom no psychiatric treatment had been initiated [ 5 , 16 ].…”

Section: Discussionmentioning

confidence: 99%

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Trichobezoar, Rapunzel Syndrome, Tricho-Plaster Bezoar – A Report of Three Cases

Czerwińska

Bekiesińska‐Figatowska²,

Brzewski

et al. 2015

Pol J Radiol

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SummaryBackgroundTrichobezoar is an uncommon entity observed mostly in young women. Symptoms in presenting patients are usually due to the large mass of the bezoar or malabsorption of nutrients. Trichobezoar is almost always associated with trichotillomania and trichophagia.Case ReportThree teenage girls, aged 13, 15, and 16, were diagnosed due to palpable epigastric masses. Additionally the oldest patient presented with symptoms of ileus while the other two patients had weight loss and anaemia. Besides the 15-year-old patient complained of paroxysmal abdominal pains. Patients were subjected to plain radiographic examinations of abdomen which revealed large epigastric tumours, with additional calcifications observed in the youngest girl. Subsequent gastroscopy (the 15-year-old patient) or ultrasonographic examination and computed tomography scans (13- and 16-year-old patients) allowed to establish the diagnosis of giant bezoars: trichobezoars in two older patients and tricho-plaster bezoar in the youngest one. All the tumours were surgically resected and psychiatric treatment was undertaken.Conclusions1. Trichobezoar should be taken into consideration in differential diagnosis of epigastric tumours in children, especially teenage girls. 2. The conventional ultrasonographic and radiographic examinations of the abdomen are insufficient for determination of the nature of the mass. A thorough medical history interview and clinical examination may give directions regarding the further diagnosis.3. Trichotillomania and trichophagia are obsessive-compulsive disorders, and therefore patients with trichobezoars should be under psychiatric care to prevent recurrence of the disease.

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Section: Discussionmentioning

confidence: 99%

“…Usually, trichobezoars develop within the stomach, although locations within the small intestine are also possible [ 5 , 6 ].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Recurrent bezoars as well as recurrent Rapunzel syndrome have been reported, most commonly in patients in whom no psychiatric treatment had been initiated [ 5 , 16 ].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Trichobezoar, Rapunzel Syndrome, Tricho-Plaster Bezoar – A Report of Three Cases

Czerwińska

Bekiesińska‐Figatowska²,

Brzewski

et al. 2015

Pol J Radiol

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“…On abdominal X-ray, trichobezoar can be identified as an opaque mass with a calcified rim or as stomach dilatation or bowel loops and air bubbles [ 12 , 14 ] but in our case both times the X-rays were not diagnostic. On ultrasound it presents as hyperechoic [ 12 ]; however, multiple acoustic interfaces can make detection difficult [ 12 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of an Early Postoperative Obstructive Ileus in a Young Female Patient due to a Residual Trichobezoar Mass

Christopoulos

Ross-Thriepland

McCarthy

et al. 2016

Case Reports in Surgery

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Trichobezoar is a rare cause of small bowel obstruction, whereby a mass forms most commonly in the stomach and duodenum of young females, from ingestion of hair, a condition known as trichophagia. We present a case of recurrent small bowel obstruction due to a residual hair mass that was removed surgically in a young female patient who had a laparotomy and gastrotomy for removal of a large gastric trichobezoar just two weeks prior to the current admission. This case illustrates the importance of a thorough inspection of the whole bowel to ensure that no residual bezoars remain after surgery.

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