İleus, barsağın fonksiyonel veya mekanik obstrüksiyonu sonucu ortaya çıkan yaygın bir klinik durumdur. Transmezenterik internal herni mekanik bir ileus nedeni olup, nadir görülür. İnternal herni, abdominal organların karın boşluğu içindeki konjenital veya edinsel bir açıklığa doğru ya da retroperitoneal bir fossaya doğru fıtıklaşması şeklinde meydana gelir. Klinik olarak hafif abdominal kramp ağrısından yaygın karın ağrısına ve ileus bulgularına kadar değişen semptom ve bulgular meydana gelebilir. Radyolojik tetkikler operasyon öncesi doğru tanıya katkı sağlayabilir, ama sıklıkla tanı ameliyat sırasında konulur. Altı yaşında ileus tablosuyla gelen peroperatif internal transmezenterik herni saptanan kız hastanın klinik ve medikal seyrini literatür bilgileri eşliğinde sunmayı amaçladık.

Trichobezoar occurs when the hair cannot be digested and accumulated in the gastrointestinal tract after ingestion in patients with trichobezoar, trichotillomania, and trichophagia. It is frequently seen in girls aged 13-20 years and is accompanied by psychiatric disorders. A case with trichobezoar in two different localizations is presented at the same time. A 16-year-old girl weighing 56 kg presented to another hospital with complaints of nausea, vomiting, and loss of appetite after almost every meal in the last 2 months. The patient was referred to our clinic upon the detection of gastric trichobezoar on computerized tomography (CT). Laparotomy was performed on the patient.. A giant mass filling the entire stomach and a separate mass almost completely blocking the intestinal lumen were detected in the proximal jejunum. Both masses were removed by gastrotomy and jejunotomy. The patient was discharged on the 6th postoperative day with recovery. Anxiety disorder was detected in the patient who was consulted with pediatric psychiatry in the postoperative period. Our case had a psychiatric disorder similar to the cases in the literature. Our case was a successful science high school student contrary to the common situations in the literature. Cases with two different masses in two different localizations at the same time are very rare, as in our case. The patient's images should be carefully examined before the operation and exploration should be performed well during the operation.