DOI: http://dx.doi.org/10.18203/2349-2902.isj20220966

Trichobezoar presenting as gastric outlet obstruction: a case report

Sushma Bhardwaj, Zahid I. Mir, Hardeep Singh, Gunjan Gupta, Hemath Singh, Mahak Bhardwaj

Abstract


Bezoars are results from accumulation of swallowed solid foreign material in the gastrointestinal tract. Typically, trichobezoars are diagnosis is based on Clinical history, radiological evidences. Surgical or endoscopic intervention is the treatment documented. In this case we present a case report of a teenage female of 16 year old diagnosed and operated for trichobezoar.


Keywords


Trichobezoar, Rapunzel syndrome, Hypoproteinemia, Trichotillomania

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References


Sehgal VN, Srivastava G. Trichotillomania ± trichobezoar: revisited. J Euro Acad Dermatol Venereol. 2006;20(8):911-5.

Frey AS, McKee M, King RA, Martin A. Hair apparent: Rapunzel syndrome. Am J Psychiatry. 2005;162(2):242-8.

Pérez E, Sántana JR, García G, Mesa J, Hernández JR, Betancort N et al. Gastric perforation due to trichobezoar in an adult (Rapunzel Syndrome). Cirugía Espanola. 2005;78(4):268-70.

West WM, Duncan ND. CT appearances of the Rapunzel syndrome: an unusual form of bezoar and gastrointestinal obstruction. Pediatric Radiol. 1998;28(5):315-6.

Coulter R, Antony MT, Bhuta P, Memon MA. Large gastric trichobezoar in a normal healthy woman: case report and review of pertinent literature. Southern Med J. 2005;98(10):1042-4.

Dixit A, Raza MA, Tiwari R. Gastric trichobezoar with Rapunzel syndrome: A case report. Journal of clinical and diagnostic research: JCDR. 2016;10(2): PD10.

Naik S, Gupta V, Naik S, Rangole A, Chaudhary AK, Jain P et al. Rapunzel syndrome reviewed and redefined. Digestive Surg. 2007;24(3):157-61.

Small A, Muehlbauer M, Kelinhaus S. Obstructing Giant Trichobezoar Involving Stomach and Duodenal Bulb. Am J Gastroenterol. 1968;50(4).

Hoover K, Piotrowski J, Pierre KS, Katz A, Goldstein AM. Simultaneous gastric and small intestinal trichobezoars - a hairy problem. J Pediatric Surg. 2006;41(8):1495-7.

Ugenti I, Travaglio E, Lagouvardou E, Iambrenghi OC, Martines G. Successful endoscopic treatment of gastric phytobezoar: A case report. Int J Surg Case Reports. 2017; 37:45-7.

Caiazzo P, Di Lascio P, Crocoli A, Del Prete I. The Rapunzel syndrome. Report of a case. Il Giornale di chirurgia. 2016;37(2):90.

Couceiro A, Viveiro C, Capelão G, Nobre J, Laureano M, Gonçalves I et al. Trichobezoar–A rare cause of abdominal mass and gastric outlet obstruction. GE Portuguese J Gastroenterol. 2016;23(1):50-3.

Christenson GA, Crow SJ. The characterization and treatment of trichotillomania. J Clin Psychiatr. 1996;57:42-7.